Individual
DR. GERALD LYNN WOOLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3611 22ND PL, LUBBOCK, TX 79410-1317
(806) 771-2222
(806) 771-2224
Mailing address
3611 22ND PL, LUBBOCK, TX 79410-1317
(806) 771-2222
(806) 771-2224
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0355
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0355
LICENSE
TX
Enumeration date
07/27/2006
Last updated
07/08/2007
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