Wood, Johnny D.
Wood, Johnny D. is an individual health care provider with primary practice located at 705 E Marshall Ave Ste 5000, Longview TX 75601-5660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wood, Johnny D. can be contacted via phone (903) 315-1970.Contact Information
Primary practice address
705 E Marshall Ave Ste 5000
Longview TX 75601-5660
Phone: (903) 315-1970
Fax: (903) 315-1977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | H8525 | Texas |
Profile Details
| NPI number | 1659496263 |
|---|---|
| LBN Legal business name | Wood, Johnny D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Jan 20th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659496263 | NPPES |
| Texas | MEDICAID | 118345101 |
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