Glenn Wood MD PA

NPI #1063648327 in Austin, Texas

Provider Information

NPI Number: 1063648327
Entity Type: Organization
Organization Name: Glenn Wood MD PA
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jun 1, 2009
Last Updated: Jun 24, 2009

Practice Location

Address: 7112 ED BLUESTEIN BLVD STE 100
City: Austin
State: Texas
ZIP Code: 78723-2913
Phone: (512) 787-4801

Authorized Official

Name: MS. REBECCA RENE PEREZ
Title: CREDENTIALER
Phone: (512) 788-4801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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