MEDICARE: DR. DAVID ROBERT WOOD D.O.

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	G7382	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	83V781	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1639162746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ROBERT WOOD D.O.

Provider Business Mailing Address
First Line	:	4411 E SOUTHCROSS BLVD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78222-3726
Country	:	US
Telephone Number	:	210-648-9500
Fax Number	:	210-648-9504

Provider Business Practice Location Address
First Line	:	4411 E SOUTHCROSS BLVD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78222-3726
Country	:	US
Telephone Number	:	210-648-9500
Fax Number	:	210-648-9504

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

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	01/04/2010

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Directions to “ DR. DAVID ROBERT WOOD D.O.” Practice Location

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