Organization
PRIME ADVANCED WOUND CARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL PINEDA (MEMBER)
(808) 745-6878
Entity
Organization
Contact information
Practice address
4201 INTERWAY PL, ARLINGTON, TX 76018-5668
(888) 777-9032
Mailing address
4201 INTERWAY PL, ARLINGTON, TX 76018-5668
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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