Individual
TIMOTHY CHARLES WOERNLEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7500 CAMBRIDGE ST, SUITE 6510, HOUSTON, TX 77054-2032
(713) 486-4125
(713) 486-4333
Mailing address
7500 CAMBRIDGE ST, SUITE 6510, HOUSTON, TX 77054-2032
(713) 486-4125
(713) 486-4333
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30741
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2014
Last updated
12/13/2018
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