| Glenn Wood Md Pa | |
|
7112 Ed Bluestein Blvd 100 Austin TX 78723-2900 | |
| (512) 892-7200 | |
| Not Available |
| Full Name | Glenn Wood Md Pa |
|---|---|
| Speciality | Counselor |
| Location | 7112 Ed Bluestein Blvd, Austin, Texas |
| Authorized Official Name and Position | Rebecca Rene Perez (CREDENTIALER) |
| Authorized Official Contact | 5127884801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn Wood Md Pa 6705 W Hwy 290 C1 Austin TX 78735-8400 Ph: (512) 788-4801 | Glenn Wood Md Pa 7112 Ed Bluestein Blvd 100 Austin TX 78723-2900 Ph: (512) 892-7200 |
| NPI Number | 1073740130 |
|---|---|
| Provider Enumeration Date | 06/16/2009 |
| Last Update Date | 06/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073740130 | NPI | - | NPPES |
| 153715108 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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