Phillip Steven Woessner ATC, LAT

NPI 1003177262 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1003177262
Gender Male
Enumeration Date 06/05/2012
Last Updated 06/05/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
500 N DOVE RD APT 913
GRAPEVINE TX, 76051-3189, US
Phone (817) 266-2200
Fax
Business Location
500 N DOVE RD APT 913
GRAPEVINE TX, 76051-3189, US
Phone
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Texas
License Number 2000009945
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According to our database, Mr. Phillip Steven Woessner ATC, LAT NPI is 1003177262, taxonomy code is 2255A2300X and license number is 2000009945, license state is located at Texas. Phillip Steven Woessner ATC, LAT physically located at 500 N Dove Rd Apt 913, Grapevine TX, 76051-3189. NPI Number Phillip Steven Woessner ATC, LAT has the Individual type.

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1003177262 NPI number is provided on an as is basis without warranty of any kind. 1003177262 is maintained by the National Plan & Provider Enumeration System. The contents of Phillip Steven Woessner ATC, LAT are for informational purposes only.