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GLENN WOOD MD PA NPI 1659598068


NPI Information

NPI: 1659598068
Provider Name: GLENN WOOD MD PA

Doing Business As: CAROUSEL PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
7112 ED BLUESTEIN BLVD
SUITE 100
AUSTIN, TX
ZIP 78723
Phone: (512) 744-6000
Get Directions

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 1659598068. 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
SUITE 100
AUSTIN, TX
ZIP 78723-900
Phone: (512) 744-6000
Fax: (512) 744-6010

The provider's authorized official is Glenn Wood .
The authorized official title is Medical Director and has the following contact phone number (512) 744-6000.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 7/13/2009.


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
1101YM0800XCounselorMental HealthNo
2101Y00000XCounselorNo
3152WP0200XOptometristPediatricsNo
4103TC2200XPsychologistClinical Child & AdolescentNo
5208000000XPediatricsYes

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
1153715102MEDICAIDTEXAS
2153715101MEDICAIDTEXAS

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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