Individual
PHILLIP STEVEN WOESSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1325 PENNSYLVANIA AVE STE 890, FORT WORTH, TX 76104-2145
(817) 250-4280
(817) 250-4281
Mailing address
1325 PENNSYLVANIA AVE STE 890, FORT WORTH, TX 76104-2145
(817) 250-4280
(817) 250-4281
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA11722
TX
Other
Enumeration date
06/05/2012
Last updated
12/20/2019
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