Glen G Wood Md Pa

NPI 1497943302 - Clinic/Center - 261QU0200X

NPI Details
NPI 1497943302
Enumeration Date 10/05/2007
Last Updated 10/05/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GLEN G GLEN
Position OWNER
Phone (512) 733-9100
Fax (512) 733-9103
Practice Location
1240 E PALM VALLEY BLVD
ROUND ROCK TX, 78664-3202, US
Phone (512) 733-9100
Fax (512) 733-9103
Business Location
7112 ED BLUESTEIN BLVD
SUITE 100
AUSTIN TX, 78723-2900, US
Phone (512) 744-6000
Fax (512) 928-8393
Toxanomy
Taxonomy Code 261QU0200X
License State
License Number
Remove 1497943302 NPI Number
 

According to our database, Glen G Wood Md Pa NPI is 1497943302, taxonomy code is 261QU0200X Glen G Wood Md Pa physically located at 1240 E Palm Valley Blvd, Round Rock TX, 78664-3202. NPI Number 1033115704 has the healthcare provider type.

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1497943302 NPI number is provided on an as is basis without warranty of any kind. 1497943302 is maintained by the National Plan & Provider Enumeration System. The contents of Glen G Wood Md Pa are for informational purposes only.