Organization
GLENN WOOD MD PA
Active
Other names
Carousel Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN WOOD MD (OWNER)
(512) 583-9600
Entity
Organization
Contact information
Practice address
2621 RIDGEPOINT DR, SUITE 130, AUSTIN, TX 78754-5232
(512) 583-9600
Mailing address
9411 N LAMAR BLVD, AUSTIN, TX 78753-4178
(512) 977-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K4012
TX
225100000X
Physical Therapist
558670000
TX
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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