Most Relevant Information
Provider Data
| NPI Number: | 1003177262 |
| Provider Name: | PHILLIP STEVEN WOESSNER PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | PA11722 |
Most Important Dates
| Enumeration Date: | 06/05/2012 |
| Last Updated: | 12/20/2019 |
Provider Practice Location
1325 PENNSYLVANIA AVE STE 890
FORT WORTH
TX
761042145
Practice Location Phone/Fax
| Phone: | 8172504280 |
| Fax: | 8172504281 |
Provider Mailing Location
1325 PENNSYLVANIA AVE STE 890
FORT WORTH
TX
761042145
Provider Mailing Phone/Fax
| Phone: | 8172504280 |
| Fax: | 8172504281 |