MEDICARE: ALBERT J. WOOD M.D.

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	207RH0003X	Hematology & Oncology Physician	D7369	TX
2	174400000X	Specialist	D7369	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

General Provider Information

NPI Number	:	1962406462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERT J. WOOD M.D.

Provider Business Mailing Address
First Line	:	2000 PINE ST
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79601-2434
Country	:	US
Telephone Number	:	512-787-1031
Fax Number	:

Provider Business Practice Location Address
First Line	:	524 ENCHANTED OAK
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78132-3867
Country	:	US
Telephone Number	:	512-787-1031
Fax Number	:

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	03/24/2017

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