Organization
THOMAS C. WOOLDIRDGE, MD: A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS CLAYTON WOOLDRIDGE M.D. (PRESIDENT)
(318) 283-0400
Entity
Organization
Contact information
Practice address
1921 N WASHINGTON ST, BASTROP, LA 71220-2431
(318) 283-0400
(318) 283-0400
Mailing address
PO BOX 1640, BASTROP, LA 71221-1640
(318) 283-0400
(318) 283-0400
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
13859
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303712
—
LA
Enumeration date
05/08/2008
Last updated
05/08/2008
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