Provider Demographics
NPI:1750777322
Name:WOODBRIDGE PHYSICIANS STAFFING GROUP, PLLC
Entity type:Organization
Organization Name:WOODBRIDGE PHYSICIANS STAFFING GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-979-4903
Mailing Address - Street 1:714 SUSSEX CT
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-8869
Mailing Address - Country:US
Mailing Address - Phone:405-922-3146
Mailing Address - Fax:405-594-6076
Practice Address - Street 1:2955 ELDORADO PKWY STE 150
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-7201
Practice Address - Country:US
Practice Address - Phone:214-407-8668
Practice Address - Fax:214-407-8665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-10
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care