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NPI Code Detail

MEDICARE: DR. WILLIAM ANTHONY WOOD

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
1171100000XAcupuncturistTEMPORARY LICENSETX

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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Directions to “ DR. WILLIAM ANTHONY WOOD ” Practice Location

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