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Organization

WOODROME MEDICAL PA

Active
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Organization

WOODROME MEDICAL PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT GALE WOODROME MD (OWNER)
(936) 327-9944
Entity
Organization

Contact information

Practice address
14006 OLD HIGHWAY 59 N, SPLENDORA, TX 77372-6302
(281) 689-6901
(281) 689-6779
Mailing address
PO BOX 1939, LIVINGSTON, TX 77351-0037
(936) 327-9944
(936) 327-9945

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
L1499
TX
207Q00000X
Family Medicine Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265476998
NPI #
TN
01
—
8V4300
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
06/30/2006
Last updated
10/19/2023
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