Individual
AMANDA H WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
1415 LEIGH GARDENS DR, SUGAR LAND, TX 77479-1884
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 2550, ROWLETT, TX 75030-2550
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
631753
TX
246ZC0007X
Surgical Assistant
Primary
SA00193
TX
364SM0705X
Medical-Surgical Clinical Nurse Specialist
631753
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097JR
BCBS
TX
Enumeration date
01/08/2007
Last updated
06/15/2021
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