Healthcare Provider Details

I. General information

NPI: 1619929817
Provider Name (Legal Business Name): BRETT MCGEEVER WOEHR M.D,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 10/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3551 ROGER BROOKE DR
FORT SAM HOUSTON TX
78234-4504
US

IV. Provider business mailing address

3100 SCHOFIELD RD BLDG 1179
FORT SAM HOUSTON TX
78234-7577
US

V. Phone/Fax

Practice location:
  • Phone: 210-916-3000
  • Fax: 210-539-2075
Mailing address:
  • Phone: 210-916-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number200501942
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number049588
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: