Dr. John Shaw Wofford Jr., MD
Dermatology, Dermatopathology in Dallas, TX. Individual provider (NPI-1).
NPI number1245596451
StatusActive
Last updated in NPPESOct 6, 2023
Details
- NPI
- 1245596451
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Shaw Wofford Jr.
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 2, 2012
- Certification date
- Oct 6, 2023
- Last updated
- Oct 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0900X | Dermatology, Dermatopathology | P8568 | TX | Yes |
| 207N00000X | Dermatology | P8568 | TX |
Practice location
8220 Walnut Hill Ln Ste 512Dallas, TX 75231-4414
Phone 214-369-8130 · Fax 214-369-7872
Mailing address
5310 Harvest Hill Rd Ste 290Dallas, TX 75230-5826
Phone 214-420-0650
Other practice locations
5030 Tennyson Pkwy Ste 100
Plano, TX 75024-3397
Plano, TX 75024-3397
Phone 972-945-3854
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