Individual
MR. GERALD WAYNE WOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1210 W EXPRWY 83, STE #4, PHARR, TX 78577
(956) 782-5525
(956) 782-5500
Mailing address
1210 W EXPRWY 83, STE #4, PHARR, TX 78577
(956) 782-5525
(956) 782-5500
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
142877
TX
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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