Provider Demographics
NPI:1144606336
Name:WOODS, PATRICK F
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:F
Last Name:WOODS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10805 W CLEBURNE RD
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-9429
Mailing Address - Country:US
Mailing Address - Phone:682-240-8181
Mailing Address - Fax:817-297-1703
Practice Address - Street 1:10805 W CLEBURNE RD
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:TX
Practice Address - Zip Code:76036-9429
Practice Address - Country:US
Practice Address - Phone:682-240-8181
Practice Address - Fax:817-297-1703
Is Sole Proprietor?:No
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker