Provider Demographics
NPI:1124037171
Name:HOOD, DWIGHT DOUGLAS (MD)
Entity Type:Individual
Prefix:MR
First Name:DWIGHT
Middle Name:DOUGLAS
Last Name:HOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5219 CITY BANK PKWY STE 35
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-3545
Mailing Address - Country:US
Mailing Address - Phone:806-761-0333
Mailing Address - Fax:806-761-0097
Practice Address - Street 1:5520 4TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79416-4220
Practice Address - Country:US
Practice Address - Phone:806-761-0475
Practice Address - Fax:806-793-0693
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6297207Q00000X
NM9167207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137300310Medicaid
TX137300311Medicaid
TX137300311Medicaid
E39476Medicare UPIN
8K1431Medicare PIN