Provider Demographics
NPI:1154339471
Name:WOITALLA, FINBAR FRANCIS (DO)
Entity type:Individual
Prefix:DR
First Name:FINBAR
Middle Name:FRANCIS
Last Name:WOITALLA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4412 KELL BLVD
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76309-4719
Mailing Address - Country:US
Mailing Address - Phone:940-689-2323
Mailing Address - Fax:
Practice Address - Street 1:4412 KELL BLVD
Practice Address - Street 2:FAMILY PRACTICE
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76309-4719
Practice Address - Country:US
Practice Address - Phone:940-689-2323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA56000207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine