Walter W Woodruff is a Texarkana, Texas based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Walter W Woodruff is 504083 for Anesthesia Administration in Texas. his current practice location is 4100 Summerhill Rd, Texarkana. Patients can reach him at 903-735-9802 or can fax him at 903-735-9806. Walter W Woodruff is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1407854755. Walter W Woodruff is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Walter W Woodruff speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Gender:
Male
Practice Address:
4100 Summerhill Rd, Texarkana, Texas, 75503-2732
Phone:
903-735-9802
Fax:
903-735-9806
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1407854755
NPI Enumeration Date:
11 Jul, 2005
NPI Last Update On:
26 Jul, 2014
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Walter W Woodruff are as mentioned below.
License Number
Specialization
State
Status
504083
Anesthesia Administration
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Walter W Woodruff such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
002849001
Medicaid
Texas
83136C
Other
Texas
BLUE CROSS
117305701
Medicaid
Arkansas
84329
Other
Arkansas
BLUE CROSS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4100 Summerhill Rd, Texarkana, Texas
Zip:
75503-2732
Phone Number:
903-735-9802
Fax Number:
903-735-9806
Patients can reach Walter W Woodruff at 4100 Summerhill Rd, Texarkana, Texas or can call to book an appointment on 903-735-9802.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.