Drury L. Woodson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D2636 Issued in TX

Practice address

622 Highway 3
La Marque, TX 77568-5936

Phone

(409) 933-0733

Fax

(409) 933-9777

NPI assigned

Jul 26, 2006

Last updated

Apr 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1467476242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1263",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775391263",
            "telephone_number": "409-933-0733",
            "fax_number": "409-933-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 HIGHWAY 3",
            "city": "LA MARQUE",
            "state": "TX",
            "postal_code": "775685936",
            "telephone_number": "409-933-0733",
            "fax_number": "409-933-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "DRURY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "D2636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080803201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "0053KD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores Texas, LLC. (Walmart pharmacy 10-3164)
• Walgreen Co (Walgreens #05833)
• Felicia Ward, CNA
• Winnie-Stowell Hospital District (Bayou Pines Care Center)
• Micah Wollenberg, LPC
• Tammy Lynn Zwarst, MA, LPC, LMFT

• Internal Medicine Physician in La Marque, TX
• Providers in La Marque, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.