| NPI | 1730509050 |
|---|---|
| Former Legal Business Name | WOODWAY MEDICAL GROUP PC |
| Entity Type | Organization |
| Authorized Contact | SCOTT A HIMES Practice Manager 765-213-4950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2023-09-28 |