Individual
CLINTON R WOOSLEY
Active
Individual
CLINTON R WOOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
L7263
TX
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
L7263
TX
2080P0203X
Pediatric Critical Care Medicine Physician
MD2017-0116
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163061801
CIDC
TX
05
—
163061802
—
TX
05
—
163061815
—
TX
01
—
163061816
CSHCN
TX
Enumeration date
07/30/2006
Last updated
10/30/2024
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