Provider Demographics
NPI:1972528990
Name:WOODS, THOMAS STEPHEN (LAT, ATC)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:STEPHEN
Last Name:WOODS
Suffix:
Gender:M
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6231 COTTON FIELD LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-5253
Mailing Address - Country:US
Mailing Address - Phone:713-409-5292
Mailing Address - Fax:
Practice Address - Street 1:22351 IMPERIAL VALLEY DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-1102
Practice Address - Country:US
Practice Address - Phone:281-891-7331
Practice Address - Fax:281-891-7332
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT05772255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer