Provider Demographics
NPI:1629967500
Name:MORGAN MOBILE WOUND CARE
Entity type:Organization
Organization Name:MORGAN MOBILE WOUND CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISETTIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN,DNP,FNP-C
Authorized Official - Phone:682-352-2984
Mailing Address - Street 1:5507 E EVANS RD STE 104-119
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78261-2023
Mailing Address - Country:US
Mailing Address - Phone:210-323-3712
Mailing Address - Fax:
Practice Address - Street 1:5507 E EVANS RD STE 104-119
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78261-2023
Practice Address - Country:US
Practice Address - Phone:210-323-3712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center