Organization
LONE STAR ADVANCED WOUND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARRY MCINTOSH (MANAGING DIRECTOR)
(512) 965-4557
Entity
Organization
Contact information
Practice address
4617 94TH ST, LUBBOCK, TX 79424-5015
(512) 965-4557
Mailing address
4617 94TH ST, LUBBOCK, TX 79424-5015
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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