Individual
ANTHONY WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1950 UNIVERSAL CITY BLVD APT 603, UNIVERSAL CITY, TX 78148-3345
(210) 781-8485
Mailing address
1950 UNIVERSAL CITY BLVD APT 603, UNIVERSAL CITY, TX 78148-3345
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1007819
TX
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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