Individual
CHARLIE ELIZABETH WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4293 KINSEY DR, TYLER, TX 75703-1004
(903) 592-5670
Mailing address
PO BOX 146, JOINERVILLE, TX 75658-0146
(903) 520-4301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA11666
TX
363A00000X
Physician Assistant
Primary
—
TX
Other
Enumeration date
06/23/2017
Last updated
05/18/2023
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