Individual
MICHAEL TODD WOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M
Contact information
Practice address
3463 MAGIC DR, SAN ANTONIO, TX 78229-2973
(210) 862-7509
(210) 614-8102
Mailing address
3463 MAGIC DR, SAN ANTONIO, TX 78229-2973
(210) 862-7509
(210) 614-8102
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
684978
TX
Other
Enumeration date
11/13/2016
Last updated
11/13/2016
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