Individual
DR. RICHARD E. WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 GASTON AVE, SUITE 404, DALLAS, TX 75246-1800
(214) 827-3890
(214) 823-9310
Mailing address
3600 GASTON AVE, SUITE 404, DALLAS, TX 75246-1800
(214) 827-3890
(214) 823-9310
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D6350
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034472302
—
TX
05
—
034472303
—
TX
05
—
034472304
—
TX
01
—
65759869
NM MEDICAID
NM
01
—
8AA834
BCBSTX
TX
01
—
8H3702
BCBS
TX
Enumeration date
06/16/2006
Last updated
06/24/2009
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