Provider Demographics
NPI:1710932827
Name:WOOTEN, FLORENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:FLORENCE
Middle Name:
Last Name:WOOTEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 CRAWFORD ST
Mailing Address - Street 2:1200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-9000
Mailing Address - Country:US
Mailing Address - Phone:713-652-9898
Mailing Address - Fax:713-652-9899
Practice Address - Street 1:2000 CRAWFORD ST
Practice Address - Street 2:1200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-9000
Practice Address - Country:US
Practice Address - Phone:713-652-9898
Practice Address - Fax:713-652-9899
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH1060207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113448801Medicaid
TX4012560001OtherPALMETTO (DMERC)
180034644OtherRAILRAOD MEDICARE
3418774OtherCIGNA
00342GOtherBLUE CROSS BLUE SHIELD
2285691OtherAETNA US HEALTH PLAN
TX4012560001OtherCIGNA
1359620OtherHEALTHMARKET
TXSPECTERAOther23926
TX10014485OtherAMERIGROUP
TX4012560001Medicare NSC
180034644OtherRAILRAOD MEDICARE
TX8D1583Medicare ID - Type Unspecified
TX180034644Medicare PIN