Glenn Wood MD PA

NPI #1770712804 in Austin, Texas

Provider Information

NPI Number: 1770712804
Entity Type: Organization
Organization Name: Glenn Wood MD PA
Primary Specialty: Pediatrics
Enumeration Date: Jul 10, 2009
Last Updated: Jul 10, 2009

Practice Location

Address: 6425 S IH 35
Address 2: 100
City: Austin
State: Texas
ZIP Code: 78744-4271
Phone: (512) 788-4801

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Pediatrics	208000000X	Primary

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