Provider Demographics
NPI:1427187954
Name:WOODWARD, GEORGE ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ALEXANDER
Last Name:WOODWARD
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 1:302 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-4551
Mailing Address - Country:US
Mailing Address - Phone:325-672-5601
Mailing Address - Fax:325-672-1333
Practice Address - Street 1:302 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-4551
Practice Address - Country:US
Practice Address - Phone:325-672-5601
Practice Address - Fax:325-672-1333
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE-4775207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC23766Medicare UPIN