Seguin, TX & Surrounding Areas

Specialized Care
in Your Living Room.

Skip the commute and wait times. Our certified nurse practitioners bring clinical excellence, compassionate wound care, and primary care to your doorstep — wherever you call home in Seguin, TX and surrounding areas.

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Fully Mobile Practice
Care at your home or facility
FNP-C
Certified Family Nurse Practitioner
CWON-AP
Certified Wound Ostomy Nurse — Advanced Practice
Tammy Littlefield, FNP-C
Founder, 360 Health and Healing, LLC
Wound Care and Primary Care Services

Expert wound care &
primary care at home.

Our team consists of certified nurse practitioners, certified wound & ostomy specialists, and nurses dedicated to clinical excellence. We utilize advanced techniques and personalized treatment plans to ensure the best possible recovery outcomes for every patient we serve.

Acute Care

Rapid response for surgical incisions, lacerations, and minor burns, delivered directly to your home for maximum comfort and healing.

  • Laceration management
  • Skin tear repair
  • Minor burn treatment
  • Infection prevention
  • Minor traumatic wounds
  • Pre-op stoma marking & education
  • Post-op ostomy care

Chronic Care

Specialized treatment for chronic wounds. We focus on healing and preventing future complications at home.

  • Diabetic ulcer care
  • Pressure injuries
  • Vascular leg ulcers and diagnostics
  • Non-healing surgical wounds
  • Debridements
  • Off-loading advice
  • Edema management

Specialized

Advanced wound management technology, including:

  • Specialty dressings
  • Wound Vac (NPWT)
  • Biological dressings
  • Osteomyelitis care
  • Non-contact low frequency ultrasound

Primary Care

Comprehensive wellness exams, health screenings, and management of everyday health concerns — from minor illnesses to ongoing chronic disease management. The full scope of primary care, at home, for homebound patients.

  • Wellness & annual exams
  • Chronic disease management
  • Medication management
  • Acute illness visits
  • Preventive care & screenings
  • Mobile labs and imaging
  • Telehealth visits

Coordinated Care

We work with all specialists to optimize health and healing.

Why Us?

Clinical excellence,
compassion, and convenience.

Trust in a mobile service dedicated to clinical excellence, empathy, and patient-centered healing.

Certified nurse providing hands-on wound care in a patient's home

Certified and Experienced

Our team consists of experienced nurse practitioners committed to safe and professional treatment utilizing standard of care models.

Nurse practitioner checking a patient's blood pressure at home

Compassionate

We prioritize your comfort and well-being, providing care that is as kind as it is clinically precise.

Mobile nurse practitioner arriving at a patient's home

Convenient

Mobile services mean you stay safe and comfortable at home while receiving high-level specialized care.

Simple Process

Healthcare that comes to you.

Getting the care you need shouldn't be complicated. Here's how it works from start to finish.

Submit a Referral

Fill out our simple self-referral or provider referral form online. It's okay if you don't have every detail — our team will follow up promptly to fill in any gaps.

We Come to You

Our team arrives at your home, assisted living facility, or preferred location — fully equipped and ready to provide professional clinical care so you do not have to wait in a lobby.

Receive Quality Care

Get the same expert care you'd expect from an office visit, in a comfortable and familiar environment. Follow-up plans, prescriptions, and referrals handled seamlessly.

Our goal is a scheduled visit in 72 hours

Meet Our Team

Our team includes nurse practitioners and nurses. We bring specialized wound care and primary care directly to your doorstep. No more stressful commutes or long waits — just expert clinical care delivered with empathy in the comfort and safety of your own home. We are committed to collaborating with other healthcare partners to meet patient needs.

Bringing Healthcare Home

Our mission is to accelerate healing and improve quality of life through safe, expert, and empathetic wound and primary care right to your doorstep. We believe everyone deserves high-quality clinical care without the burden and expense of travel.

  • Serving Seguin, TX and the surrounding Texas Hill Country / San Antonio areas
  • Records managed securely through an electronic medical record
  • Electronic prescriptions
Tammy Littlefield, FNP-C, CWON-AP — 360 Health and Healing

Tammy Littlefield

Founder  ·  FNP-C  ·  CWON-AP

A 5th-generation nurse with 30+ years of nursing experience, Tammy began her career as a CNA in 1990, then an LVN in 1992. She earned her BSN in 1996. She was a magna cum laude graduate from Chamberlain University in 2022 with her MSN, FNP.

  • Family Nurse Practitioner — Certified (FNP-C) since 2022
  • Certified Wound Ostomy Nurse since 2004, Advanced Practice since 2025
Request Care
Wound care assessment delivered in a patient's home
Clinical precision, delivered at home
Expert wound dressing and bandaging in a home setting
Advanced wound management
Provider performing a patient assessment in a home setting
Full-scope primary care
Compassionate hands-on care delivered by our clinical team
Compassionate, expert-level care
Where We Serve

Our Service Area

Based in Seguin, TX — we travel throughout the Greater San Antonio and Texas Hill Country region. If you're unsure whether you're in range, just call us.

Communities we serve include:

  • Seguin
  • San Antonio
  • New Braunfels
  • San Marcos
  • Kyle
  • Wimberley
  • Canyon Lake
  • Lockhart
  • Luling
  • Gonzales
  • La Vernia
  • Schertz
  • Converse
  • Stockdale
  • Floresville
  • & surrounding areas
Get Started

Request Care

Getting started is simple. Give us a call or send a fax and our team will guide you through the next steps — no forms required.

Patients & Families

Call us during business hours and a member of our team will walk you through the intake process. It's okay if you don't have every detail ready — we'll help you figure it out.

(888) 341-4334

Monday – Friday  ·  9 am – 5 pm

Referring Providers

Physicians, NPs, case managers, and facility staff can reach us directly by phone or fax. A secure online referral portal through our EMR is coming soon.

(888) 341-4334 Fax: (346) 971-4676

Monday – Friday  ·  9 am – 5 pm

Get in Touch

We'd love to hear from you.

Questions about services, insurance, or what to expect? Reach out and we'll get back to you promptly.

Contact Information

Office
(888) 341-4334
Monday – Friday, 9 am – 5 pm
Email
mobilenp@360hhllc.com
We respond within one business day
Fax
(346) 971-4676
Available for clinical documentation and referrals
Mailing Address
PO Box 1516, Seguin, TX 78156
Mobile practice — we come to you
Service Area
Seguin, TX & Surrounding Areas
~40-mile radius · Hill Country / Greater San Antonio · See map

Important: Please do not include personal health information (PHI) in messages sent through this form. For clinical communication, use your Request Care section or call the office directly.

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Questions or general inquiries — not for medical emergencies.

For non-emergency inquiries only. If this is a medical emergency, call 911.