Individual
ELIJAH CAMILO WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 GREEN OAKS CT, HUDSON OAKS, TX 76087-8900
(210) 569-3941
Mailing address
113 GREEN OAKS CT, HUDSON OAKS, TX 76087-8900
(210) 569-3941
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14332
TX
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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