Woywood Integrated Medicine | |
12702 Toepperwein Rd Ste 140, Live Oak, TX 78233-3267 | |
(210) 646-9060 | |
(210) 646-6219 |
Full Name | Woywood Integrated Medicine |
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Type | Facility |
Speciality | Clinic/center - Multi-specialty |
Location | 12702 Toepperwein Rd Ste 140, Live Oak, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215187323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Roger B Woywood |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1376543561 PECOS PAC ID: 0547313991 Enrollment ID: I20090731000593 |
Provider Name | Wesley S Benjamin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114341187 PECOS PAC ID: 4587896543 Enrollment ID: I20140407001320 |
Provider Name | Georgette L Nadeau |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770065781 PECOS PAC ID: 3870828825 Enrollment ID: I20190712000539 |
Provider Name | James J Sheehan |
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Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1083715759 PECOS PAC ID: 3375934086 Enrollment ID: I20220106000816 |
Mailing Address | Practice Location Address |
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Woywood Integrated Medicine 12702 Toepperwein Rd Ste 140, Live Oak, TX 78233-3267 Ph: (210) 646-9060 | Woywood Integrated Medicine 12702 Toepperwein Rd Ste 140, Live Oak, TX 78233-3267 Ph: (210) 646-9060 |