Individual
DR. JERRY D WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
219 EASTWOOD ST, LIVINGSTON, TX 77351-3342
(936) 327-7147
(936) 327-6234
Mailing address
219 EASTWOOD ST, LIVINGSTON, TX 77351-3342
(936) 327-7147
(936) 327-6234
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
G0304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080005306
RAILROAD MEDICARE
TX
05
—
133935003
—
TX
01
—
76-0090075
FIN
TX
01
—
87W460
BLUECROSS BLUESHIELD
TX
Enumeration date
07/21/2005
Last updated
07/17/2008
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