Organization
WOUND REJUVENATION
Active
Organization
WOUND REJUVENATION
Active
Other names
Wound Rejuvenation
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY L LOPEZ ADULT- GERIATRIC NP (CEO)
(724) 984-7093
Entity
Organization
Contact information
Practice address
19022 APPLETREE HILL LN, HOUSTON, TX 77084-5596
(724) 984-7093
Mailing address
19022 APPLETREE HILL LN, HOUSTON, TX 77084-5596
(724) 984-7093
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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