Individual
JEFFREY BEN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16811 SOUTHWEST FWY, SUGAR LAND, TX 77479-4728
(281) 690-4678
Mailing address
16811 SOUTHWEST FWY, SUGAR LAND, TX 77479-4728
(281) 690-4678
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J6820
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
J6820
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145723601
—
TX
05
—
145723602
—
TX
05
—
145723603
—
TX
05
—
145723604
—
TX
05
—
145723605
—
TX
05
—
145723606
—
TX
05
—
2122274
—
LA
01
—
610119705
US DEPT OF LABOR
TX
01
—
8BP170
BLUE CROSS BLUE SHIELD
TX
01
—
P00663449
MEDICARE RAILROAD
TX
01
—
P01055728
RR MEDICARE
TX
Enumeration date
10/10/2005
Last updated
08/30/2016
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