Organization
TRM ENDOVASCULAR & WOUND CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BARHAM (PRESIDENT)
(662) 470-7554
Entity
Organization
Contact information
Practice address
7900 AIRWAYS BLVD STE 6, SOUTHAVEN, MS 38671-4113
(662) 470-7554
(269) 906-2006
Mailing address
7900 AIRWAYS BLVD STE 6, SOUTHAVEN, MS 38671-4113
(662) 470-7554
(269) 906-2006
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26915
STATE LICENSE
MS
Enumeration date
08/19/2024
Last updated
11/03/2025
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