NPI Code Detail JSON Logo

1841333689 NPI number — MICHELE LISETTE WOODFORD PHYSICIAN ASSISTANT

NPI Number: 1841333689
Health Care Provider/Practitioner: MICHELE LISETTE WOODFORD PHYSICIAN ASSISTANT

Information about “1841333689” NPI (MICHELE LISETTE WOODFORD PHYSICIAN ASSISTANT) exists in 1841333689 in HTML format HTML  |  1841333689 in plain Text format TXT  |  1841333689 in PDF (Portable Document Format) PDF  |  1841333689 in an XML format XML  formats.

NPI Number : 1841333689 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841333689",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WOODFORD",
    "FirstName": "MICHELE",
    "MiddleName": "LISETTE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHYSICIAN ASSISTANT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 2070",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ORANGE GROVE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78372-2070",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "361-382-2024",
    "MailingAddressFaxNumber": "855-606-6314",
    "FirstLinePracticeLocationAddress": "408 N GIRAUD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COTULLA",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78014-3113",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "830-879-2279",
    "PracticeLocationAddressFaxNumber": "830-879-2235",
    "EnumerationDate": "02/14/2007",
    "LastUpdateDate": "02/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "02735",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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