Glenn Wood MD PA

NPI #1821232281 in Austin, Texas

Provider Information

NPI Number: 1821232281
Entity Type: Organization
Organization Name: Glenn Wood MD PA
Subpart: Yes (part of a larger organization)
Parent Organization: GLENN WOOD MD PA
Primary Specialty: Pediatrics
Enumeration Date: Apr 28, 2009
Last Updated: Apr 28, 2009

Practice Location

Address: 730 W STASSNEY LN
City: Austin
State: Texas
ZIP Code: 78745-2982
Phone: (512) 892-7200

Authorized Official

Name: MS. BEA ESQUIVEL
Title: ADMINISTRATOR
Phone: (512) 552-4124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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