Healthcare Provider Details

I. General information

NPI: 1770941866
Provider Name (Legal Business Name): MRS. TERESA ANN WOODS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2016
Last Update Date: 02/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2733 SAINT GEORGE PL
ARLINGTON TX
76015-1112
US

IV. Provider business mailing address

2733 SAINT GEORGE PL
ARLINGTON TX
76015-1112
US

V. Phone/Fax

Practice location:
  • Phone: 214-606-2756
  • Fax: 682-321-7172
Mailing address:
  • Phone: 214-606-2756
  • Fax: 682-321-7172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: