Doctor Name: | CHRISTY A WOODRUFF |
NPI Number: | 1821099953 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | L2758 |
Business Practice Address: | 15200 Southwest Fwy Suite 370 Sugar Land, TX - 774783845 |
Business Phone Number: | 2812404313 |
Business Fax Number: | 2812404350 |
Mailing Address: | 15200 Southwest Fwy, Suite 370 SUGAR LAND |
State: | TX |
Postal Code: | 774783845 |
Phone Number: | 2812404313 |
Fax Number: | 2812404350 |
NPI Enumeration Date: | 08/10/2005 |
NPI Last Update Date: | 03/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/23/2006 |
NPI Reactivation Date: | 03/28/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | L2758 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |