Gillian Wooldridge
Family Doctor - Sports Medicine
2220 E. League City Parkway, Suite 200
League City
, Texas 77573
Gillian Wooldridge
Family Doctor - Sports Medicine
2220 E. League City Parkway, Suite 200
League City
, Texas 77573
(713) 363-9090
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Gillian Wooldridge
- 2220 E. League City Parkway, Suite 200
- League City, TX
- Zip : 77573
- Phone : (713) 363-9090
Second Address
- Gillian Wooldridge
- 2220 E. League City Parkway, Suite 200
- League City, TX
- Zip : 77573
- Phone : (713) 363-9090
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | R6136 | TX |
National Provider Identifier
| NPI | 1053722264 |
|---|---|
| Provider Name | Gillian Wooldridge |
| First Address | League City, TX 77573 |
| Second Address | League City, TX 77573 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/05/2014 |
| Last Update Date | 16/08/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 584592 | PERSONAL ID FOR TEXAS PIT PERMIT (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.