Healthcare Provider Details

I. General information

NPI: 1811807860
Provider Name (Legal Business Name): MONICA A WOODWARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7010 W ADAMS AVE
TEMPLE TX
76502-5550
US

IV. Provider business mailing address

4034 SAINT PETER ST
SALADO TX
76571-2152
US

V. Phone/Fax

Practice location:
  • Phone: 254-724-1200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number1038541
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: