Provider Demographics
NPI:1982652673
Name:WOODMAN, JEAN G (MD)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:G
Last Name:WOODMAN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5414 FREDERICKSBURG RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3641
Mailing Address - Country:US
Mailing Address - Phone:210-541-8281
Mailing Address - Fax:210-541-9123
Practice Address - Street 1:3501 KNICKERBOCKER RD
Practice Address - Street 2:ROOM 104
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76904-7610
Practice Address - Country:US
Practice Address - Phone:325-947-6474
Practice Address - Fax:325-947-6475
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2007-07-11
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Provider Licenses
StateLicense IDTaxonomies
TXK64182080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine