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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