Glenn Wood Md Pa

LBN: Glenn Wood Md Pa
Glenn Wood Md Pa is an health care organization with primary practice located at 7112 Ed Bluestein Blvd 100, Austin TX 78723-2900. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as the primary health care specialty. Glenn Wood Md Pa can be contacted via phone (512) 892-7200, or through Perez, Rebecca Rene via phone (512) 788-4801.

Contact Information

Primary practice address
7112 Ed Bluestein Blvd 100 Austin TX 78723-2900
Phone: (512) 892-7200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Perez, Rebecca Rene
Phone: (512) 788-4801

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1073740130
LBN Legal business name Glenn Wood Md Pa
DBA Doing business as
Authorized official Perez, Rebecca Rene
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2009
Last updated Jun 24th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073740130 NPPES
Texas MEDICAID 153715108

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