Individual
DOUGLAS MICHAEL WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
301 W AVENUE D, GARLAND, TX 75040-7117
(214) 557-7814
(972) 947-3057
Mailing address
301 W AVENUE D, GARLAND, TX 75040-7117
(214) 557-7814
(972) 947-3057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
H7258
TX
208D00000X
General Practice Physician
Primary
H7258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H7258
MEDICAL LICENSE
TX
Enumeration date
03/17/2014
Last updated
03/17/2014
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