Thomas C. Wooldridge a Professional Corporation

NPI #1770794604 in Bastrop, Louisiana

Provider Information

NPI Number: 1770794604
Entity Type: Organization
Organization Name: Thomas C. Wooldridge a Professional Corporation
Primary Specialty: Surgery
Enumeration Date: May 24, 2007
Last Updated: Aug 14, 2014

Practice Location

Address: 1921 NORTH WASHINGTON ST.
City: Bastrop
State: Louisiana
ZIP Code: 71221-1640
Phone: (318) 283-0400

Authorized Official

Name: DR. THOMAS CLAYTON WOOLDRIDGE, M.D.
Title: CHAIRMAN
Phone: (318) 283-0400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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