Healthcare Provider Details

I. General information

NPI: 1447216882
Provider Name (Legal Business Name): SARA S. WOODS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 01/06/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5701 W SLAUGHTER LN BLDG C
AUSTIN TX
78749-6528
US

IV. Provider business mailing address

12221 N MO PAC EXPY
AUSTIN TX
78758-2415
US

V. Phone/Fax

Practice location:
  • Phone: 512-334-2504
  • Fax: 512-334-2594
Mailing address:
  • Phone: 512-334-2504
  • Fax: 512-334-2594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberL3193
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: