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
Fax: (903) 315-1977
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306961917 NPPES
Texas MEDICAID 118346901

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