Organization
GLENN WOOD MD PA
Active
Other names
Carousel Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLENN WOOD MD (OWNER)
(512) 892-7200
Entity
Organization
Contact information
Practice address
5339 N IH 35, AUSTIN, TX 78723-2428
(512) 892-7200
(512) 892-7205
Mailing address
5339 N IH 35, 100, AUSTIN, TX 78723-2428
(512) 892-7200
(512) 892-7205
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082009401
—
TX
05
—
153715101
—
TX
05
—
153715103
—
TX
05
—
153715105
—
TX
Enumeration date
05/06/2009
Last updated
08/13/2009
Update your record
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