Individual
MR. NOAH WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
816 S FLEISHEL AVE, TYLER, TX 75701-2016
(903) 533-8202
Mailing address
816 S FLEISHEL AVE, TYLER, TX 75701-2016
(903) 533-8202
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
2137
TX
224P00000X
Prosthetist
Primary
2137
TX
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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