Organization
GLENN WOOD MD PA
Active
Organization
GLENN WOOD MD PA
Active
Other names
Carousel Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA KILCOLLINS (CREDENTIALING DIRECTOR)
(512) 583-9679
Entity
Organization
Contact information
Practice address
7112 ED BLUESTEIN BLVD STE 100, AUSTIN, TX 78723-2913
(512) 744-6000
(512) 233-0985
Mailing address
9411 N LAMAR BLVD STE 120, AUSTIN, TX 78753-4179
(512) 583-9679
(512) 233-0985
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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