Organization
SAN ANTONIO WOUND CARE LLC
Active
Organization
SAN ANTONIO WOUND CARE LLC
Active
Other names
San Antonio Wound Care
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD CROSSETT (PRESIDENT)
(832) 274-6455
Entity
Organization
Contact information
Practice address
12501 JUDSON RD STE 102, LIVE OAK, TX 78233-4117
(210) 369-9151
Mailing address
12501 JUDSON RD STE 102, LIVE OAK, TX 78233-4117
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/06/2020
Last updated
01/08/2021
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