Organization
GLENN WOOD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA RENE PEREZ (CREDENTIALER)
(512) 788-4801
Entity
Organization
Contact information
Practice address
7112 ED BLUESTEIN BLVD STE 100, AUSTIN, TX 78723-2913
(512) 787-4801
Mailing address
6705 W HIGHWAY 290, C1, AUSTIN, TX 78735-8400
(512) 787-4801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/01/2009
Last updated
06/24/2009
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