Organization
BREEDLOVE WOUND CARE OF TEXAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANN BREEDLOVE (OWNER)
(903) 947-2020
Entity
Organization
Contact information
Practice address
810 N HILL ST STE 3, TATUM, TX 75691-1740
(903) 947-2020
Mailing address
PO BOX 1129, TATUM, TX 75691-1129
(903) 947-2020
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/19/2024
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