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Organization

INNOVATIONS WOUND MANAGEMENT, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MOIRA HAYES MHA, RRT, CHT (PRACTICE ADMINISTRATOR)
(713) 301-5707
Entity
Organization

Contact information

Practice address
1234 WAGNER ST, HOUSTON, TX 77007-3719
(713) 301-5707
(713) 295-2863
Mailing address
1234 WAGNER ST, HOUSTON, TX 77007-3719
(713) 301-5707
(713) 295-2863

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
601127
TX

Other

Enumeration date
04/13/2010
Last updated
04/13/2010
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