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Organization
NORTH TEXAS PREMIER WOUND CARE LLC
Active
Organization
NORTH TEXAS PREMIER WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS GONGORA (MANAGER)
(972) 697-8580
Entity
Organization
Contact information
Practice address
6305 WESTFIELD DR, MESQUITE, TX 75181-0025
(972) 697-8580
Mailing address
6305 WESTFIELD DR, MESQUITE, TX 75181-0025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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