Organization
WOUNDLOGIC, LLC
Active
Organization
WOUNDLOGIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYAWN SIMMONS FNP (NURSE PRACTITIONER)
(707) 694-0095
Entity
Organization
Contact information
Practice address
8143 GOLIAD WAY, BEASLEY, TX 77417
(832) 535-1072
Mailing address
5614 W GRAND PKWY S STE 102, RICHMOND, TX 77406-5820
(832) 535-1072
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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