Provider Demographics
NPI:1245596451
Name:WOFFORD, JOHN SHAW JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SHAW
Last Name:WOFFORD
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:5310 HARVEST HILL RD STE 290
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-5826
Mailing Address - Country:US
Mailing Address - Phone:214-420-0650
Mailing Address - Fax:
Practice Address - Street 1:8220 WALNUT HILL LN STE 512
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4414
Practice Address - Country:US
Practice Address - Phone:214-369-8130
Practice Address - Fax:214-369-7872
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-02
Last Update Date:2023-10-06
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Provider Licenses
StateLicense IDTaxonomies
TXP8568207ND0900X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
No207N00000XAllopathic & Osteopathic PhysiciansDermatology