Organization
GLENN WOOD MD PA
Active
Other names
Carousel Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN G WOOD M.D. (MEDICAL DIRECTOR)
(512) 341-9707
Entity
Organization
Contact information
Practice address
2000 N MAYS ST, STE 109, ROUND ROCK, TX 78664-2166
(512) 341-9707
(512) 374-9702
Mailing address
2000 N MAYS ST, STE 109, ROUND ROCK, TX 78664-2166
(512) 341-9707
(512) 374-9702
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153715103
—
TX
05
—
153715104
—
TX
Enumeration date
04/20/2007
Last updated
06/30/2008
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