Provider Demographics
NPI:1356434674
Name:JANESE, WOODROW WILLIAM (MD, FACS, BSME)
Entity type:Individual
Prefix:DR
First Name:WOODROW
Middle Name:WILLIAM
Last Name:JANESE
Suffix:
Gender:M
Credentials:MD, FACS, BSME
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13303 CHAMPION FOREST DR STE 4
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-2650
Mailing Address - Country:US
Mailing Address - Phone:281-537-6000
Mailing Address - Fax:281-444-0635
Practice Address - Street 1:13303 CHAMPION FOREST DR STE 4
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-2650
Practice Address - Country:US
Practice Address - Phone:281-537-6000
Practice Address - Fax:281-444-0635
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7246174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist