Provider Demographics
NPI:1548997315
Name:BEENE-WOOLRIDGE, FIFI
Entity type:Individual
Prefix:MRS
First Name:FIFI
Middle Name:
Last Name:BEENE-WOOLRIDGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4026 GARDEN GROVE RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-3883
Mailing Address - Country:US
Mailing Address - Phone:972-672-7617
Mailing Address - Fax:
Practice Address - Street 1:4026 GARDEN GROVE RD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-3883
Practice Address - Country:US
Practice Address - Phone:972-672-7617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty