Glenn Wood MD PA

NPI #1861704280 in Austin, Texas

Provider Information

NPI Number: 1861704280
Entity Type: Organization
Organization Name: Glenn Wood MD PA
Primary Specialty: Pediatrics
Enumeration Date: Jul 14, 2010
Last Updated: Jul 14, 2010

Practice Location

Address: 9411 N LAMAR BLVD
City: Austin
State: Texas
ZIP Code: 78753-4178
Phone: (512) 744-6000

Authorized Official

Name: KAREN CANTU
Title: CREDENTIALING SPECIALIST
Phone: (512) 334-5978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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