Organization
GLENN WOOD MD PA
Active
Parent organization
GLENN WOOD MD PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
GLENN WOOD MD PA
Authorized official
MS. BEA ESQUIVEL (ADMINISTRATOR)
(512) 552-4124
Entity
Organization
Contact information
Practice address
730 W STASSNEY LN, AUSTIN, TX 78745-2982
(512) 892-7200
(512) 892-7205
Mailing address
6705 W HWY 290, C1, AUSTIN, TX 78735-8400
(512) 892-7200
(512) 892-7205
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F4706
TX
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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