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Individual

DR. KRISTINA DEMAS WOODHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1515 HOLCOMBE BLVD UNIT 97, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
R4797
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
378905901
TX
01
378905902
MEDICAID CSHCN
TX
Enumeration date
05/30/2012
Last updated
03/09/2018
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