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NPI Code Detail

MEDICARE: GINGER D WOOD MPT

MEDICARE: GINGER D WOOD MPT
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1164580TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18T7892OTHERTXBCBS

General Provider Information

NPI Number : 1255351227
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINGER D WOOD MPT
Provider Business Mailing Address
First Line : 1633 COTTONWOOD ST
Second Line :
City : ABILENE
State : TX
Zip : 79601-3033
Country : US
Telephone Number : 325-672-4372
Fax Number :
Provider Business Practice Location Address
First Line : 1220 N MALINCHE AVE
Second Line :
City : LAREDO
State : TX
Zip : 78043-3354
Country : US
Telephone Number : 956-722-2431
Fax Number : 956-722-7553
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 06/25/2021

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Directions to “ GINGER D WOOD MPT” Practice Location

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