Individual
DR. CAROLYN AMELIA WOODFORK-RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6325 5TH ST, BELLAIRE, TX 77401-3324
(713) 660-6860
Mailing address
6325 5TH ST, BELLAIRE, TX 77401-3324
(713) 660-6860
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H3202
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H3202
STATE LICENSE
TX
Enumeration date
08/04/2006
Last updated
07/09/2007
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