Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | S0125 | TX |
N | 111NI0900X | Internist | S0125 | TX |
N | 207RC0200X | Critical Care Medicine | S0125 | TX |
Y | 207RP1001X | Pulmonary Disease | S0125 | TX |
NPI | 1093058026 |
---|---|
Provider Name | Jeffrey Woods |
First Address | El Paso, TX 79920 |
Second Address | El Paso, TX 79920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2013 |
Last Update Date | 31/10/2019 |