Organization
PRECISION WOUND CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR M GRANADOS RN, CHT (PRESIDENT/REGISTERED AGENT)
(817) 501-2214
Entity
Organization
Contact information
Practice address
10617 WINDING PASSAGE WAY, FORT WORTH, TX 76131-3991
(817) 501-2214
Mailing address
10617 WINDING PASSAGE WAY, FORT WORTH, TX 76131-3991
(817) 501-2214
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
251J00000X
Nursing Care Agency
—
—
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Enumeration date
06/10/2014
Last updated
06/11/2014
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