Individual
MR. RYAN AUSTIN WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PNP
Contact information
Practice address
2605 CROWNSPOINT DR, AUSTIN, TX 78748-6021
(512) 762-2502
Mailing address
1301 BARBARA JORDAN BLVD, STE 302, AUSTIN, TX 78723-3078
(512) 472-6134
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
202018537
TX
Other
Enumeration date
11/25/2020
Last updated
12/14/2020
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