Organization
GLENN WOOD MD PA
Active
Other names
Carousel Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI DIXSON (DIRECTOR OF OPERATIONS)
(512) 583-9680
Entity
Organization
Contact information
Practice address
109 S TEXAS AVE, STE E, MERCEDES, TX 78570-2725
(512) 744-6000
Mailing address
2621 RIDGEPOINT DR, STE 130, AUSTIN, TX 78754-5232
(512) 583-9679
(512) 334-2321
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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