MEDICARE: DR. WILLIAM ANTHONY WOOD

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
1	171100000X	Acupuncturist	TEMPORARY LICENSE	TX

General Provider Information

NPI Number	:	1366615189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM ANTHONY WOOD

Provider Business Mailing Address
First Line	:	2008 NEW YORK AVE
Second Line	:	UNIT C
City	:	AUSTIN
State	:	TX
Zip	:	78702-1700
Country	:	US
Telephone Number	:	512-293-5565
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 S CONGRESS AVE
Second Line	:	SUITE 201
City	:	AUSTIN
State	:	TX
Zip	:	78704-2435
Country	:	US
Telephone Number	:	512-293-5565
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2008
Last Update Date	:	04/12/2008

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