MEDICARE: MR. GARRY WOO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	H1337	TX
2	2083P0901X	Public Health & General Preventive Medicine Physician	H1337	TX

General Provider Information

NPI Number	:	1255441424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GARRY WOO M.D.

Provider Business Mailing Address
First Line	:	2377 N STEMMONS FWY
Second Line	:	SUITE 300
City	:	DALLAS
State	:	TX
Zip	:	75207-2710
Country	:	US
Telephone Number	:	214-819-2057
Fax Number	:

Provider Business Practice Location Address
First Line	:	2377 N STEMMONS FWY
Second Line	:	SUITE 301
City	:	DALLAS
State	:	TX
Zip	:	75207-2710
Country	:	US
Telephone Number	:	214-819-2057
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	10/26/2011

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