Provider Demographics
NPI:1548813660
Name:360 WOUND SOLUTIONS, INC.
Entity type:Organization
Organization Name:360 WOUND SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-276-2044
Mailing Address - Street 1:10713 N RANCH ROAD 620 STE 513
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78726-1771
Mailing Address - Country:US
Mailing Address - Phone:512-276-2044
Mailing Address - Fax:
Practice Address - Street 1:10713 N RANCH ROAD 620 STE 513
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78726-1771
Practice Address - Country:US
Practice Address - Phone:512-276-2044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-17
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies