MEDICARE: GLENN WOOD MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	225100000X	Physical Therapist
3	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1447480132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLENN WOOD MD PA

Provider Business Mailing Address
First Line	:	6705 W HWY 290
Second Line	:	C1
City	:	AUSTIN
State	:	TX
Zip	:	78735-8400
Country	:	US
Telephone Number	:	512-892-7200
Fax Number	:

Provider Business Practice Location Address
First Line	:	2621 RIDGEPOINT DR STE 130
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78754-5224
Country	:	US
Telephone Number	:	512-892-7200
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GLENN WOOD
Credential	:	MD
Telephone Number	:	512-892-7200

Provider Enumeration Date	:	07/16/2009
Last Update Date	:	08/17/2009

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Directions to “GLENN WOOD MD PA ” Practice Location

Language	Start Address	Practice Location

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