Organization · NPI-2

Dynamic Wound Care

Clinical Nurse Specialist, Adult Health · San Antonio, TX

NPI number1710631676

StatusActive

Last updated in NPPESFeb 10, 2022

Details

NPI: 1710631676
Entity type: Organization (NPI-2)
Legal business name: Dynamic Wound Care
Organization subpart: No
Enumeration date: Feb 9, 2022
Certification date: Feb 10, 2022
Last updated: Feb 10, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
364SA2200X	Clinical Nurse Specialist, Adult Health	–	–	Yes
163WW0000X	Registered Nurse, Wound Care	–	–

Practice location

13207 Hunters Lark St
San Antonio, TX 78230-2017

Phone 800-988-6004 · Fax 800-988-6004

Mailing address

13207 Hunters Lark St
San Antonio, TX 78230-2017

Phone 800-988-6004 · Fax 800-988-6004

Authorized official

Erlinda Belvis
Medical Director
8009886004

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