Provider Demographics
NPI:1730105024
Name:WOODMAN, KARIN HOANG (MD)
Entity Type:Individual
Prefix:DR
First Name:KARIN
Middle Name:HOANG
Last Name:WOODMAN
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 1:1515 HOLCOMBE BLVD UNIT 431
Mailing Address - Street 2:M. D. ANDERSON CANCER CENTER, DEPT NEURO-ONCOLOGY
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4017
Mailing Address - Country:US
Mailing Address - Phone:713-794-1577
Mailing Address - Fax:713-794-4999
Practice Address - Street 1:1515 HOLCOMBE BLVD UNIT 431
Practice Address - Street 2:M. D. ANDERSON CANCER CENTER, DEPT NEURO-ONCOLOGY
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4017
Practice Address - Country:US
Practice Address - Phone:713-794-1577
Practice Address - Fax:713-794-4999
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM77662084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX187274901Medicaid
TX8AA302OtherBLUE CROSS BLUE SHIELD TX
TX187274902Medicaid
TXM7766OtherTEXAS MEDICAL LICENSE
TX187274903OtherCSHCN
TXI33316OtherUPIN
TX8AA302OtherBLUE CROSS BLUE SHIELD TX
TX187274902Medicaid