Organization
WOOD OB GYN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA WOOD M.D. (VICE PRESIDENT)
(903) 315-1970
Entity
Organization
Contact information
Practice address
703 E MARSHALL AVE, SUITE 3000, LONGVIEW, TX 75601-5500
(903) 315-1970
(903) 315-1977
Mailing address
703 E MARSHALL AVE, SUITE 3000, LONGVIEW, TX 75601-5500
(903) 315-1970
(903) 315-1977
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J0176
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084111601
—
TX
Enumeration date
04/10/2007
Last updated
11/05/2008
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