Individual
GILLIAN WOOLDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2220 E. LEAGUE CITY PARKWAY, SUITE 200, LEAGUE CITY, TX 77573
(713) 363-9090
Mailing address
2220 E. LEAGUE CITY PARKWAY, SUITE 200, LEAGUE CITY, TX 77573
(713) 363-9090
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
R6136
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
584592
PERSONAL ID FOR TEXAS PIT PERMIT
TX
Enumeration date
05/12/2014
Last updated
08/16/2018
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