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NPI Code Detail

MEDICARE: CONNOR L. WOODS P.A.

MEDICARE: CONNOR L. WOODS P.A.
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
1363AM0700XMedical Physician AssistantPA04529TX

General Provider Information

NPI Number : 1922044148
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONNOR L. WOODS P.A.
Provider Business Mailing Address
First Line : 110 MEMORIAL HOSPITAL DR
Second Line :
City : HUNTSVILLE
State : TX
Zip : 77340-4940
Country : US
Telephone Number : 936-291-4583
Fax Number :
Provider Business Practice Location Address
First Line : 110 MEMORIAL HOSPITAL DR
Second Line :
City : HUNTSVILLE
State : TX
Zip : 77340-4940
Country : US
Telephone Number : 936-291-4583
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 02/05/2020

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Directions to “ CONNOR L. WOODS P.A.” Practice Location

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