Organization
PREMIER MOBILE WOUND OF TEXAS LLC
Active
Other names
Premier Mobile Wound
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DALTON (CO-OWNER)
(817) 368-6584
Entity
Organization
Contact information
Practice address
1452 HUGHES RD STE 200, GRAPEVINE, TX 76051-9221
(817) 368-6584
Mailing address
1452 HUGHES RD STE 200, GRAPEVINE, TX 76051-9221
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
07/31/2024
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