Individual
MS. BEVERLY JO WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4507 AUSTIN ST, HOUSTON, TX 77004-4907
(713) 526-9578
Mailing address
4507 AUSTIN ST, HOUSTON, TX 77004-4907
(713) 526-9578
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21783
NC
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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