Provider Demographics
NPI:1275564973
Name:DOLINO, WOODROW V (MD)
Entity Type:Individual
Prefix:
First Name:WOODROW
Middle Name:V
Last Name:DOLINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 HIGHWAY 6 S
Mailing Address - Street 2:#100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-4300
Mailing Address - Country:US
Mailing Address - Phone:281-496-4948
Mailing Address - Fax:
Practice Address - Street 1:2150 HIGHWAY 6 S
Practice Address - Street 2:#100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-4300
Practice Address - Country:US
Practice Address - Phone:281-496-4948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5892207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K4362Medicare PIN
C15307Medicare UPIN