Individual
LONNIE WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5025 E BERRY ST, FORT WORTH, TX 76119-2239
(217) 277-9516
(214) 277-9516
Mailing address
914 BELCLAIRE CIR, CEDAR HILL, TX 75104-1238
(214) 277-9516
(972) 291-0032
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
75-2515490
TX
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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