Provider Demographics
NPI:1497943302
Name:GLEN G WOOD MD PA
Entity Type:Organization
Organization Name:GLEN G WOOD MD PA
Other - Org Name:APPLE URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GLEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-744-6000
Mailing Address - Street 1:7112 ED BLUESTEIN BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-2900
Mailing Address - Country:US
Mailing Address - Phone:512-744-6000
Mailing Address - Fax:512-928-8393
Practice Address - Street 1:1240 E PALM VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-3202
Practice Address - Country:US
Practice Address - Phone:512-733-9100
Practice Address - Fax:512-733-9103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care