Provider Demographics
NPI:1891739546
Name:WOOD, JOHN PAUL (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:PAUL
Last Name:WOOD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9003 AIRPORT FWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-7770
Mailing Address - Country:US
Mailing Address - Phone:817-514-5200
Mailing Address - Fax:817-514-5210
Practice Address - Street 1:811 INTERSTATE 20 W
Practice Address - Street 2:SUITE 218
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-5870
Practice Address - Country:US
Practice Address - Phone:817-466-9578
Practice Address - Fax:817-466-9569
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2011-09-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXD6216207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX101557002Medicaid
TX160027147OtherRAILROAD MEDICARE
TX101557002Medicaid
TXC23740Medicare UPIN