Provider Demographics
NPI:1114574878
Name:RITA G WOOD DO PA
Entity Type:Organization
Organization Name:RITA G WOOD DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RITA
Authorized Official - Middle Name:GOLIKERI
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:817-926-4118
Mailing Address - Street 1:1425 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-4151
Mailing Address - Country:US
Mailing Address - Phone:817-926-4118
Mailing Address - Fax:817-926-4362
Practice Address - Street 1:1425 8TH AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4151
Practice Address - Country:US
Practice Address - Phone:817-926-4118
Practice Address - Fax:817-926-4362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-19
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty