Individual
DR. HENRY EDWARD WOOD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
745 OLIVE ST, STE 200, SHREVEPORT, LA 71104-2246
(318) 226-0809
(318) 226-0812
Mailing address
745 OLIVE ST, STE 200, SHREVEPORT, LA 71104-2246
(318) 226-0809
(318) 226-0812
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
15619
LA
207RN0300X
Nephrology Physician
9905
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1949442
—
LA
Enumeration date
08/15/2005
Last updated
07/08/2007
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