| Organization Name: | ROBERT ALAN WOODWARD MD PA |
| NPI Number: | 1568773638 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT ALAN WOODWARD (OWNER) |
| Mailing Address: | 304 Emma Jane St Rockwall |
| State: | TX US |
| Postal Code: | 750874314 |
| Phone Number: | 9723252832 |
| Fax Number: | 9722004384 |
| NPI Enumeration Date: | 06/23/2010 |
| NPI Last Update Date: | 06/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G8518 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |