Individual
VICKIE A. WOODS-MODELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
701 E DAVIS ST, STE. A, CONROE, TX 77301-3018
(936) 525-2800
(936) 539-4668
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
239394
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125368405
—
TX
Enumeration date
05/16/2006
Last updated
08/29/2023
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