Individual
DR. WOODROW WILLIAM COPPEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5901 LONG DR, HOUSTON, TX 77087-1003
(713) 970-7000
Mailing address
9401 SOUTHWEST FWY, HOUSTON, TX 77074-1407
(713) 970-7000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L2853
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10050535
AMERIGROUP
TX
05
—
151714603
—
TX
01
—
8G7084
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/24/2006
Last updated
06/12/2019
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