Wood, Teresa
Wood, Teresa is an individual health care provider with primary practice located at 703 E Marshall Ave Suite 3000, Longview TX 75601-5500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Wood, Teresa can be contacted via phone (903) 315-1970.Contact Information
Primary practice address
703 E Marshall Ave Suite 3000
Longview TX 75601-5500
Phone: (903) 315-1970
Fax: (903) 315-1977
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | J0176 | Texas |
Profile Details
NPI number | 1306961917 |
---|---|
LBN Legal business name | Wood, Teresa |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 20th, 2007 |
Last updated | Sep 25th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306961917 | NPPES |
Texas | MEDICAID | 118346901 |
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