Provider Demographics
NPI:1720366404
Name:WOODS, ERNEST NMI (RN)
Entity Type:Individual
Prefix:MR
First Name:ERNEST
Middle Name:NMI
Last Name:WOODS
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9011 ANDERSON BLF
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-1963
Mailing Address - Country:US
Mailing Address - Phone:210-363-5732
Mailing Address - Fax:
Practice Address - Street 1:9011 ANDERSON BLF
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-1963
Practice Address - Country:US
Practice Address - Phone:210-363-5732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-28
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX783029163W00000X, 163WG0600X, 163WI0600X, 163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WG0600XNursing Service ProvidersRegistered NurseGerontology
No163WI0600XNursing Service ProvidersRegistered NurseInfection Control
No163WW0000XNursing Service ProvidersRegistered NurseWound Care