Provider Demographics
NPI:1265436612
Name:WOO, STANLEY (OD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:
Last Name:WOO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 J. DAVIS ARMISTEAD BLDG.
Mailing Address - Street 2:4901 CALHOUN
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77204-2020
Mailing Address - Country:US
Mailing Address - Phone:713-743-2020
Mailing Address - Fax:713-743-0963
Practice Address - Street 1:505 J. DAVIS ARMISTEAD BLDG.
Practice Address - Street 2:4901 CALHOUN
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77204-2020
Practice Address - Country:US
Practice Address - Phone:713-743-1921
Practice Address - Fax:713-743-0963
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5044TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX101318702Medicaid
TX101318702Medicaid
TX82983EMedicare PIN