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NPI Code Detail

MEDICARE: MRS. JULIE WOODBURY CPNP

MEDICARE:  MRS. JULIE  WOODBURY  CPNP
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
1363LP0200XPediatric Nurse Practitioner663926TX
2363LP0200XPediatric Nurse PractitionerAP115181TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17069OTHERTXPRESCRIPTION AUTHORITY
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3663926OTHERTXRN
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5AP115181OTHERTXAPRN

General Provider Information

NPI Number : 1811076417
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIE WOODBURY CPNP
Provider Business Mailing Address
First Line : 2323 WIRT RD STE F8
Second Line :
City : HOUSTON
State : TX
Zip : 77055-1232
Country : US
Telephone Number : 713-467-4900
Fax Number : 137-467-6006
Provider Business Practice Location Address
First Line : 2323 WIRT RD STE F8
Second Line :
City : HOUSTON
State : TX
Zip : 77055-1232
Country : US
Telephone Number : 713-467-4900
Fax Number : 713-467-6006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2006
Last Update Date : 09/22/2021

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Directions to “ MRS. JULIE WOODBURY CPNP” Practice Location

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