Provider Demographics
NPI:1497002612
Name:WOODS, AMY MICHELLE (LAC)
Entity Type:Individual
Prefix:MISS
First Name:AMY
Middle Name:MICHELLE
Last Name:WOODS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15901 CENTRAL COMMERCE DR.
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-2042
Mailing Address - Country:US
Mailing Address - Phone:512-494-4050
Mailing Address - Fax:512-494-4053
Practice Address - Street 1:15901 CENTRAL COMMERCE DR.
Practice Address - Street 2:SUITE 102
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-2042
Practice Address - Country:US
Practice Address - Phone:512-494-4050
Practice Address - Fax:512-494-4053
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01337171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist