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Contact Information

TRM ENDOVASCULAR & WOUND CARE SERVICES LLC
7900 AIRWAYS BLVD STE 6
SOUTHAVEN, MS38671-4113
 Phone: 662-470-7554
 Fax: 269-906-2006
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for TRM ENDOVASCULAR & WOUND CARE SERVICES LLC

NPI Number 1629800412
LBN Legal business name TRM ENDOVASCULAR & WOUND CARE SERVICES LLC
Authorized official DAVID BARHAM - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/19/2024
Last updated 11/03/2025 - About 7 months ago
Identifiers
MS Other 26915 STATE LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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