Organization · Type 2 NPI
Thomas C. Wooldirdge, Md: A Professional Corporation
Health Service Clinic/Center · Bastrop, LA
NPI number
1750558789
Active
Practice location
1921 N Washington St
Bastrop, LA 71220-2431
Fax (318) 283-0400
Mailing address
PO Box 1640
Bastrop, LA 71221-1640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 13859 (LA) |
Health Service Clinic/Center: Definition to come...
About NPI 1750558789
Thomas C. Wooldirdge, Md: A Professional Corporation's National Provider Identifier is 1750558789, issued on May 8, 2008. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Bastrop, LA. The record was last updated on May 8, 2008.