Thomas C. Wooldridge a Professional Corporation
Thomas C. Wooldridge a Professional Corporation provides Surgery Physician services in Bastrop, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.
- Licensed in
- LA
- In the registry since
- 2007
Practice location Address checks out
1921 N Washington StBastrop, LA 71221-1640 Not confirmed with CMS for 12 years — call before visiting
Phone: (318) 283-0400
Fax: (318) 283-0400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 13859 (LA) |
|---|
Record details
| NPI number | 1770794604 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Wooldridge — Chairman · (318) 283-0400 |
| NPI enumerated | May 24, 2007 |
| Last updated in NPPES | August 14, 2014 |
| Mailing address | 1921 North Washington St., P. O. Box 1640, Bastrop, LA 71221-1640 |
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