Full Spectrum Wound Care Alliance
Internal Medicine in Austin, TX. Organization (NPI-2).
NPI number1144950486
StatusActive
Last updated in NPPESApr 16, 2025
Details
- NPI
- 1144950486
- Entity type
- Organization (NPI-2)
- Legal business name
- Full Spectrum Wound Care Alliance
- Organization subpart
- No
- Enumeration date
- Jun 10, 2022
- Certification date
- Apr 16, 2025
- Last updated
- Apr 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
11614 Bee Caves Rd Ste 130Austin, TX 78738-5551
Phone 512-662-4800
Mailing address
11614 Bee Caves Rd Ste 130Austin, TX 78738-5551
Phone 512-662-4800
Authorized official
David Doyle Drury
Ao
5126624800
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