Woodward, George David

Woodward, George David is an individual health care provider with primary practice located at 3115 Loop 306 Suite 110, San Angelo TX 76904-5983. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Woodward, George David can be contacted via phone (325) 942-1952.

Contact Information

Primary practice address
3115 Loop 306 Suite 110 San Angelo TX 76904-5983
Phone: (325) 942-1952
Fax: (325) 942-1517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 30828 Texas

Profile Details

NPI number 1720007685
LBN Legal business name Woodward, George David
Credentials EDD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jan 21st, 2013 - about 13 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 1720007685 NPPES
Texas Other 87707A BCBS
Texas MEDICAID 029993503 BCBS

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