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NPI Code Detail

MEDICARE: WOODS MED PASS LLC

MEDICARE: WOODS MED PASS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1467003244
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOODS MED PASS LLC
Provider Business Mailing Address
First Line : 3536 LOCKWOOD DR # B-1
Second Line :
City : HOUSTON
State : TX
Zip : 77026-5473
Country : US
Telephone Number : 832-776-0384
Fax Number :
Provider Business Practice Location Address
First Line : 3536 LOCKWOOD DR # B-1
Second Line :
City : HOUSTON
State : TX
Zip : 77026-5473
Country : US
Telephone Number : 832-776-0384
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KELVIN WOODS
Credential :
Telephone Number : 832-776-0384
Provider Enumeration Date : 09/24/2019
Last Update Date : 09/24/2019

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Directions to “WOODS MED PASS LLC ” Practice Location

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