Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 1274156 | TX |
NPI | 1003263864 |
---|---|
Provider Name | Dr. Zachary Allen Woods |
First Address | Arlington, TX 76017-1042 |
Second Address | Arlington, TX 76017-1042 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2016 |
Last Update Date | 20/05/2016 |