Individual
CODY BRANDON WOOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 504-7339
Mailing address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 597-0351
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
1083359
TX
Other
Enumeration date
11/25/2025
Last updated
06/16/2026
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