Individual
DIANA RENE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
1700 3RD ST, WICHITA FALLS, TX 76301-2113
(940) 761-7697
(940) 761-7885
Mailing address
309 N CLAY ST, HENRIETTA, TX 76365-2844
(940) 761-7841
(940) 761-7885
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
701423
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
701423
REGISTERED NURSE
TX
Enumeration date
02/05/2007
Last updated
07/09/2007
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