Healthcare Provider Details

I. General information

NPI: 1972983997
Provider Name (Legal Business Name): WOODHILL SURGERY BILLING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2015
Last Update Date: 06/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8315 WALNUT HILL LN STE 105
DALLAS TX
75231-4248
US

IV. Provider business mailing address

8315 WALNUT HILL LN STE 105
DALLAS TX
75231-4248
US

V. Phone/Fax

Practice location:
  • Phone: 310-914-9150
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License NumberM6394
License Number StateTX

VIII. Authorized Official

Name: STEVEN SHERRY
Title or Position: MEDICAL DOCTOR
Credential:
Phone: 310-914-9150