Wood, Russell S
Wood, Russell S is an sole proprietor health care provider with primary practice located at 4971 E Interstate 20 Service Rd N Ste 100 , Willow Park TX 76087-3206. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wood, Russell S can be contacted via phone (817) 694-8916.Contact Information
Primary practice address
4971 E Interstate 20 Service Rd N Ste 100
Willow Park TX 76087-3206
Phone: (817) 694-8916
Fax: (682) 224-5724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 32761 | Texas |
Profile Details
| NPI number | 1598131807 |
|---|---|
| LBN Legal business name | Wood, Russell S |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2015 |
| Last updated | Jan 16th, 2022 - about 4 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.
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