MEDICARE: DR. THOMAS RICHARD WOEHLER M.D.

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	207RA0201X	Allergy & Immunology (Internal Medicine) Physician	D8845	TX

General Provider Information

NPI Number	:	1982730719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS RICHARD WOEHLER M.D.

Provider Business Mailing Address
First Line	:	101 WESTCOTT ST
Second Line	:	#1106
City	:	HOUSTON
State	:	TX
Zip	:	77007-7044
Country	:	US
Telephone Number	:	713-862-6888
Fax Number	:	713-864-6850

Provider Business Practice Location Address
First Line	:	101 WESTCOTT ST
Second Line	:	#1106
City	:	HOUSTON
State	:	TX
Zip	:	77007-7044
Country	:	US
Telephone Number	:	713-862-6888
Fax Number	:	713-864-6850

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	07/08/2007

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