Provider Demographics
NPI:1659181931
Name:WOODARD, LEONARD BERNARD
Entity type:Individual
Prefix:
First Name:LEONARD
Middle Name:BERNARD
Last Name:WOODARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6206 PIERCE ARROW DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-7863
Mailing Address - Country:US
Mailing Address - Phone:817-825-3829
Mailing Address - Fax:
Practice Address - Street 1:6206 PIERCE ARROW DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-7863
Practice Address - Country:US
Practice Address - Phone:817-825-3829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-09
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant