GLENN WOOD MD PA NPI 1336519560

NPI Information

GLENN WOOD MD PA is a pediatrics nurse practitioner in Austin, TX. GLENN WOOD MD PA NPI is 1336519560. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Carousel Pediatrics.

The provider's business location address is:

7112 ED BLUESTEIN BLVD STE 100
AUSTIN, TX
ZIP 78723-913
Phone: (512) 744-6000
Fax: (512) 233-0985

The provider's authorized official is Angela Kilcollins .
The authorized official title is Credentialing Director and has the following contact phone number (512) 583-9679.

The CLIA number assigned to this NPI record is 45D2020878 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/30/2015 and was last updated on 9/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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