NPI | 1861231300 |
---|---|
Doing Business As | BALANCE WOUND CARE TX, LLC |
Entity Type | Organization |
Authorized Contact | ANA L MORADO Owner 915-335-1977 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2024-05-23 |
Last Update Date | 2024-05-23 |