Individual
TARAH WOODLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(301) 520-6905
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
13917929-1205
UT
208D00000X
General Practice Physician
0101271559
VA
Other
Enumeration date
04/09/2019
Last updated
03/09/2025
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