Provider Demographics
NPI:1255622684
Name:WOODY, APRIL (DO)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:WOODY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:
Other - Last Name:FISCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:221 3RD ST W BLDG 1040
Mailing Address - Street 2:
Mailing Address - City:JBSA RANDOLPH
Mailing Address - State:TX
Mailing Address - Zip Code:78150-4801
Mailing Address - Country:US
Mailing Address - Phone:210-652-3646
Mailing Address - Fax:210-652-3218
Practice Address - Street 1:221 3RD ST W BLDG 1040
Practice Address - Street 2:
Practice Address - City:JBSA RANDOLPH
Practice Address - State:TX
Practice Address - Zip Code:78150-4801
Practice Address - Country:US
Practice Address - Phone:210-652-3646
Practice Address - Fax:210-652-3218
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-19
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE988208D00000X, 208000000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program