Organization
PRIME WOUND CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LITTY VADAKKAN NP (OWNER)
(512) 740-8993
Entity
Organization
Contact information
Practice address
1000 GATTIS SCHOOL RD STE 430, ROUND ROCK, TX 78664-2569
(512) 740-8993
(833) 974-2451
Mailing address
1000 GATTIS SCHOOL RD STE 430, ROUND ROCK, TX 78664-2569
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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