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Individual

DR. JONATHAN E WOODWARD

Active
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Individual

DR. JONATHAN E WOODWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8755
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10009303
AMERIGROUP (MEDICAID)
TX
01
—
13276
PARKLAND COMMUNITY HEALTH
TX
05
—
1511776-02
—
TX
01
—
1950891
FIRST HEALTH
TX
01
—
7035288
AETNA
TX
01
—
8F6280
BLUE CROSS/ BLUE SHIELD
TX
Enumeration date
08/09/2005
Last updated
08/16/2021
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