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GLENN WOOD MD PA NPI 1588898589


NPI Information

NPI: 1588898589
Provider Name: GLENN WOOD MD PA

Other Name: CAROUSEL PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
5339 N IH 35
AUSTIN, TX
ZIP 78723
Phone: (512) 892-7200
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GLENN WOOD MD PA is a pediatrics in Austin, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. GLENN WOOD MD PA NPI is 1588898589. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Carousel Pediatrics.

The provider's business location address is:

5339 N IH 35
AUSTIN, TX
ZIP 78723-428
Phone: (512) 892-7200
Fax: (512) 892-7205

The provider's authorized official is Glenn Wood .
The authorized official title is Owner and has the following contact phone number (512) 892-7200.

The enumeration date for this NPI number is 5/6/2009 and was last updated on 8/13/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristNo
2208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1153715101MEDICAIDTEXAS
2153715103MEDICAIDTEXAS
3082009401MEDICAIDTEXAS
4153715105MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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