Organization
CAROL A. WOOD D.O., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL A. WOOD D.O. (PRESIDENT)
(817) 539-7377
Entity
Organization
Contact information
Practice address
1751 BROAD PARK CIRCLE SOUTH, SUITE 203, MANSFIELD, TX 76063
(817) 539-7377
Mailing address
1807 VALLEY VIEW DR, CEDAR HILL, TX 75104-7843
(817) 539-7377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L9965
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942220975
PROVIDER INDIVIDUAL NPI
TX
Enumeration date
11/06/2007
Last updated
11/06/2007
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