Individual
MR. JOHN EDWARD WOOTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2601 W LAKE HOUSTON PKWY, KINGWOOD, TX 77339-5222
(281) 360-7502
Mailing address
2601 W LAKE HOUSTON PKWY, KINGWOOD, TX 77339-5222
(281) 360-7502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01182
TX
Other
Enumeration date
09/11/2007
Last updated
01/14/2009
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