Provider Demographics
NPI:1740088715
Name:WOUND CARE PROS LLC
Entity type:Organization
Organization Name:WOUND CARE PROS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HARUTYUN
Authorized Official - Middle Name:
Authorized Official - Last Name:SRMAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-443-0303
Mailing Address - Street 1:3649 W BEECHWOOD AVE STE 106B
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-0693
Mailing Address - Country:US
Mailing Address - Phone:559-288-4370
Mailing Address - Fax:
Practice Address - Street 1:3649 W BEECHWOOD AVE STE 106
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-0693
Practice Address - Country:US
Practice Address - Phone:559-288-4370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center