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
Phone: (214) 692-6220
Fax: (214) 696-1579
Website:
Health care specialties
Specialty | Code | License # | 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 9 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 | 1407859135 | NPPES |
Texas | Other | 180014986 | RAILROAD MEDICARE |
Texas | MEDICAID | 122821503 | RAILROAD MEDICARE |
Texas | MEDICAID | 122821505 | RAILROAD MEDICARE |
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