Healthcare Provider Details

I. General information

NPI: 1851908826
Provider Name (Legal Business Name): WOODHILL ANESTHESIA GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2020
Last Update Date: 12/29/2020
Certification Date: 12/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8315 WALNUT HILL LN STE 110
DALLAS TX
75231-4249
US

IV. Provider business mailing address

8315 WALNUT HILL LN STE 110
DALLAS TX
75231-4249
US

V. Phone/Fax

Practice location:
  • Phone: 214-431-4244
  • Fax:
Mailing address:
  • Phone: 214-363-9946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN D WALLACE
Title or Position: DOCTOR
Credential: MD, DDS
Phone: 214-363-9946