Glenn Wood MD PA

NPI #1194264416 in Round Rock, Texas

Provider Information

NPI Number: 1194264416
Entity Type: Organization
Organization Name: Glenn Wood MD PA
Primary Specialty: Pediatrics
Enumeration Date: Feb 20, 2017
Last Updated: Feb 20, 2017

Practice Location

Address: 1201 S INTERSTATE 35 STE 303
City: Round Rock
State: Texas
ZIP Code: 78664-6651
Phone: (512) 744-6000

Authorized Official

Name: ANGELA KILCOLLINS
Title: CREDENTIALING ADMINISTRATOR
Phone: (512) 583-9679

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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