Provider Demographics
NPI:1215955869
Name:WOODS, ROXANNE E (DO)
Entity type:Individual
Prefix:DR
First Name:ROXANNE
Middle Name:E
Last Name:WOODS
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1800 W LOOP 281
Mailing Address - Street 2:STE 305
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75604-2568
Mailing Address - Country:US
Mailing Address - Phone:903-247-0484
Mailing Address - Fax:903-247-0485
Practice Address - Street 1:4025 E SOUTHCROSS BLVD
Practice Address - Street 2:BLDG 2, STE 7
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78222-3641
Practice Address - Country:US
Practice Address - Phone:210-333-1255
Practice Address - Fax:210-333-8496
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-08-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK6976207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B3336Medicare ID - Type Unspecified