Organization
GLENN WOOD MD PA
Active
Other names
Carousel Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN WOOD M.D. (MEDICAL DIRECTOR)
(512) 744-6000
Entity
Organization
Contact information
Practice address
7112 ED BLUESTEIN BLVD, SUITE 100, AUSTIN, TX 78723-2900
(512) 744-6000
(512) 744-6010
Mailing address
7112 ED BLUESTEIN BLVD, SUITE 100, AUSTIN, TX 78723-2900
(512) 744-6000
(512) 744-6010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
152WP0200X
Pediatric Optometrist
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153715101
—
TX
05
—
153715102
—
TX
Enumeration date
04/19/2007
Last updated
07/13/2009
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