MEDICARE: DR. RAWSON LYMAN WOOD MD

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	2083A0100X	Aerospace Medicine Physician	21303	SC

General Provider Information

NPI Number	:	1437125796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAWSON LYMAN WOOD MD

Provider Business Mailing Address
First Line	:	5711 UNIVERSITY HTS
Second Line	:	BRC, SUITE 107
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-1835
Country	:	US
Telephone Number	:	210-691-0281
Fax Number	:

Provider Business Practice Location Address
First Line	:	5711 UNIVERSITY HTS
Second Line	:	BRC, SUITE 107
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-1835
Country	:	US
Telephone Number	:	210-691-0281
Fax Number	:

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

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	01/09/2017

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