# WOODLANDS DIAGNOSTIC CLINIC, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336753508
- **Authorized official:** TAMMIE ROGERS LVN (DIRECTOR)
- **Authorized official phone:** (281) 863-9554

## Contact information

- **Practice address:** 9201 PINECROFT DR STE 200, SHENANDOAH, TX 77380-3889
- **Practice address phone:** (281) 863-9554
- **Mailing address:** 9201 PINECROFT DR STE 200, SHENANDOAH, TX 77380-3889
- **Mailing address phone:** (281) 863-9554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/03/2020
- **Last updated:** 08/07/2023