Organization
GLENN WOOD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN WOOD MD (OWNER)
(512) 892-7200
Entity
Organization
Contact information
Practice address
2621 RIDGEPOINT DR STE 130, AUSTIN, TX 78754-5224
(512) 892-7200
Mailing address
6705 W HWY 290, C1, AUSTIN, TX 78735-8400
(512) 892-7200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
225100000X
Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/16/2009
Last updated
08/17/2009
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