Organization
WOUND INTEGRITY LOUISIANA PMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAN PHAM HULEN MD (OWNER)
(214) 274-1507
Entity
Organization
Contact information
Practice address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(512) 202-3830
(512) 354-1106
Mailing address
PO BOX 3409, PFLUGERVILLE, TX 78691-3409
(512) 202-3830
(512) 354-1106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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