Individual
MARGARET WOODLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA12327
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1W9990
MEDICARE
TX
05
—
431008803
—
TX
Enumeration date
10/28/2018
Last updated
11/01/2023
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