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Organization

GLENN WOOD MD PA

Active
Other names
CAROUSEL PEDIATRICS
Organization subpart
No

Provider details

NPI number
Authorized official
TRACI DIXSON (DIRECTOR OF OPERATIONS)
(512) 583-9680
Entity
Organization

Contact information

Practice address
1123 E 9TH ST, MISSION, TX 78572-4404
(512) 744-6000
Mailing address
2621 RIDGEPOINT DR, STE 130, AUSTIN, TX 78754-5232
(512) 583-9679

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
02/15/2012
Last updated
02/16/2012
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