Individual
PAMELA R WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G4755
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111832501
—
TX
01
—
111832502
CIDC
TX
Enumeration date
08/01/2006
Last updated
06/03/2008
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