Woods-Modeland, Vickie A.

Woods-Modeland, Vickie A. is an individual health care provider with primary practice located at 701 E Davis St Ste. A, Conroe TX 77301-3018. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Woods-Modeland, Vickie A. can be contacted via phone (936) 525-2800.

Contact Information

Primary practice address
701 E Davis St Ste. A Conroe TX 77301-3018
Phone: (936) 525-2800
Fax: (936) 539-4668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 239394 Texas

Profile Details

NPI number 1184676777
LBN Legal business name Woods-Modeland, Vickie A.
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Aug 29th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184676777 NPPES
Texas MEDICAID 125368405

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