Wood, Thomas Stacy

Wood, Thomas Stacy is an individual health care provider with primary practice located at 5494 Glen Lakes Dr , Dallas TX 75231-4308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wood, Thomas Stacy can be contacted via phone (214) 692-6220.

Contact Information

Primary practice address
5494 Glen Lakes Dr Dallas TX 75231-4308
Fax: (214) 696-1579
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G9017 Texas

Profile Details

NPI number 1407859135
LBN Legal business name Wood, Thomas Stacy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2005
Last updated Jul 14th, 2016 - about 8 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 1407859135 NPPES
Texas Other 180014986 RAILROAD MEDICARE
Texas MEDICAID 122821503 RAILROAD MEDICARE
Texas MEDICAID 122821505 RAILROAD MEDICARE

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