INNOVATIONS WOUND MANAGEMENT, PA
Osteopathic Medicine at Wagner St, Houston, TX

License number
Texas E8768
Category
Osteopathic Medicine
Type
Family Medicine
License number
Texas N6545
Category
Osteopathic Medicine
Type
General Practice
License number
Texas M1782
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: MS. MOIRA HAYES MHA, RRT, CHT
Title: PRACTICE ADMINISTRATOR
Phone: (713) 301-5707
Address
Address
1234 Wagner St, Houston, TX 77007
National Provider ID: 1083857049
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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INNOVATIONS WOUND MANAGEMENT, PA

1234 Wagner St, Houston, TX 77007

Status:
Inactive
Doing business as:
Innovations Wound Management, PA
Registration:
Apr 6, 2009
State ID:
0801107004
Business type:
Professional Association
Director, Member, Presidents:
Naiyer Imam Member, inactive,Dianne E. Wollaston Director, Member, Secretary, inactive,Kyler S. Knight Director, Member, President, inactive
Agent:
Moira Hayes,1234 Wagner St, Houston, TX 77007 (Physical)
TIN:
32039247120

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