Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0106X | Oral and Maxillofacial Pathology | 053225-1 | NY |
Y | 1223P0106X | Oral and Maxillofacial Pathology | 35971 | TX |
N | 1223P0106X | Oral and Maxillofacial Pathology | S1-15C | NV |
NPI | 1932284213 |
---|---|
Provider Name | Dr. Victoria Luo-Kei Woo |
First Address | Greenville, TX 75404-8887 |
Second Address | Dallas, TX 75246-2013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 26/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0058921 | (05) | NJ |
PENDING | (05) | NJ |
V07723 | (02) | NY |