MEDICARE: WOODS FAMILY MEDICINE PLLC

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
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1861977365
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODS FAMILY MEDICINE PLLC

Provider Business Mailing Address
First Line	:	1510 SW 119TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73170-4930
Country	:	US
Telephone Number	:	405-363-1460
Fax Number	:

Provider Business Practice Location Address
First Line	:	1510 SW 119TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73170-4930
Country	:	US
Telephone Number	:	573-578-0638
Fax Number	:

Authorized Official
Title or Position	:	OWNER, CEO
Name	:	ABBEY L WOODS
Credential	:	MD
Telephone Number	:	405-353-1460

Provider Enumeration Date	:	10/01/2018
Last Update Date	:	10/30/2024

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