Provider Demographics
NPI:1578679288
Name:WOODFIN, WILLIAM SMILEY (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:SMILEY
Last Name:WOODFIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1105 CENTRAL EXPY N
Mailing Address - Street 2:SUITE 310B
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6103
Mailing Address - Country:US
Mailing Address - Phone:972-390-2818
Mailing Address - Fax:214-509-0272
Practice Address - Street 1:1105 CENTRAL EXPY N
Practice Address - Street 2:SUITE 310B
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6103
Practice Address - Country:US
Practice Address - Phone:972-390-2818
Practice Address - Fax:214-509-0272
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2010-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXD52552084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB27664Medicare UPIN
TX8F22547Medicare PIN