Individual
MS. MADELYN ALYSSA WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
921 LAKEVIEW BLVD, NEW BRAUNFELS, TX 78130-4135
(830) 627-4670
Mailing address
921 LAKEVIEW BLVD FL 1, NEW BRAUNFELS, TX 78130-4135
(830) 379-7901
(830) 401-0737
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13566
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409066401
—
TX
Enumeration date
03/16/2020
Last updated
05/19/2020
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