Individual
TESSA NORENE WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
900 8TH AVE, FORT WORTH, TX 76104
(817) 877-5292
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2017004407
MO
208600000X
Surgery Physician
BC5738387-0337
TX
2086S0127X
Trauma Surgery Physician
Primary
2017004407
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972938249
—
MO
05
—
200043476
—
MO
Enumeration date
09/05/2013
Last updated
12/27/2018
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