Individual
DR. SCOTT WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 W COLORADO BLVD, STE 525, DALLAS, TX 75208-2312
(214) 960-5681
(214) 947-2727
Mailing address
221 W COLORADO BLVD, STE 525, DALLAS, TX 75208-2312
(214) 960-5681
(214) 947-2727
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
L4814
TX
207RP1001X
Pulmonary Disease Physician
L4814
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061SG
BC/BS GROUP
TX
01
—
0A3635
MEDICARE GROUP
UT
05
—
205693901
—
TX
01
—
8BZ422
BC/BS INDIVIDUAL
TX
01
—
8F21072
MEDICARE INDIVIDUAL NUMBER
TX
Enumeration date
10/25/2006
Last updated
09/25/2023
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