P Praxis·MD
● Active Type 1 · Individual

Walter W Woodruff, CRNA

Nurse Anesthetist, Certified Registered·Texarkana, TX· NPI 1407854755 · Enumerated 2005 · 20 years on NPI
Woodruff is 1 of 43 nurse anesthetist, certified registered providers in Texarkana and 1 of 6676 in Texas.
NPI age
20 years
Enumerated 2005-07-11
Primary specialty
Nurse Anesthetist, Certified Registered
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-07-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 6676 active nurse anesthetist, certified registered providers in Texas.

NPI age
20 years
↑ 7 yr above median (13 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-07Enumerated in NPPES
2005 2026

Where they practice

Practice location
4100 Summerhill Rd
Texarkana, TX 755032732
📞 9037359802fax 9037359806
Mailing address
4100 Summerhill Rd
Texarkana, TX 755032732
📞 9037359802fax 9037359806

Specialties

  • Nurse Anesthetist, Certified Registered Primary
    (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
    TX license #504083 taxonomy 367500000X

Identifiers

TypeValueNotes
05 (TX) 002849001
01 (TX) 83136C BLUE CROSS
05 (AR) 117305701
01 (AR) 84329 BLUE CROSS

Practice context

Part of a multi-provider practice. 24 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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