Individual
SAMUEL WOOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6601 PRESTON RD, PLANO, TX 75024-2502
(469) 326-3400
(469) 326-3499
Mailing address
6601 PRESTON RD, PLANO, TX 75024-2502
(469) 326-3400
(469) 326-3499
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H7684
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01167472
RAILROAD MEDICARE
TX
Enumeration date
09/30/2005
Last updated
06/13/2013
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