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Contact Information

GLENN WOOD MD PA
7112 ED BLUESTEIN BLVD
SUITE 100
AUSTIN, TX78723-2900
 Phone: 512-744-6000
 Fax: 512-744-6010
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
 

Pediatrics

152WP0200X 41 Optometry
Indicates primary specialty

NPI Profile & details for GLENN WOOD MD PA

NPI # 1659598068
LBN Legal business name GLENN WOOD MD PA
Authorized official GLENN WOOD - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/19/2007
Last updated 07/13/2009 - About 17 years ago
Identifiers
TX Medicaid 153715101
TX Medicaid 153715102
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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