Provider Demographics
NPI:1386037836
Name:WOOD, WILLIAM THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:THOMAS
Last Name:WOOD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:992 E US HIGHWAY 80
Mailing Address - Street 2:SUITE C
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-8709
Mailing Address - Country:US
Mailing Address - Phone:972-552-5181
Mailing Address - Fax:
Practice Address - Street 1:992 E US HIGHWAY 80
Practice Address - Street 2:SUITE C
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-8709
Practice Address - Country:US
Practice Address - Phone:972-552-5181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-09
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12662111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor