Individual
DR. JAY ROBERT WOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 W FRONTIER PKWY, PROSPER, TX 75078-3751
(469) 868-9100
(469) 868-9200
Mailing address
5700 GRANITE PKWY STE 455, PLANO, TX 75024-6631
(469) 399-5002
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
56923
KY
207P00000X
Emergency Medicine Physician
E-14657
AR
207P00000X
Emergency Medicine Physician
Primary
K7952
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045061114
—
TX
Enumeration date
11/09/2006
Last updated
03/30/2026
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