Individual
PHILIP M WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1404 LAKE BLUFF CV, ROUND ROCK, TX 78664-5606
(512) 246-6170
(512) 246-6174
Mailing address
1404 LAKE BLUFF CV, ROUND ROCK, TX 78664-5606
(512) 246-6170
(512) 246-6174
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
J3658
TX
Other
Enumeration date
04/20/2006
Last updated
01/27/2010
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