Individual
GEORGE DAVID WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
3115 LOOP 306, SUITE 110, SAN ANGELO, TX 76904-5983
(325) 942-1952
(325) 942-1517
Mailing address
3115 LOOP 306, SUITE 110, SAN ANGELO, TX 76904-5983
(325) 942-1952
(325) 942-1517
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30828
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029993503
—
TX
01
—
87707A
BCBS
TX
Enumeration date
07/19/2006
Last updated
01/21/2013
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