Provider Demographics
NPI:1588638050
Name:HOOD, MEGAN C (MD)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:C
Last Name:HOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4205 SINCLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-3526
Mailing Address - Country:US
Mailing Address - Phone:904-716-5976
Mailing Address - Fax:
Practice Address - Street 1:900 WEST AVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-2210
Practice Address - Country:US
Practice Address - Phone:512-708-8654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA056071207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA629442983AMedicaid
GA93BFBNWMedicare ID - Type UnspecifiedMEDICARE