person
Dr. Jerry D Wood, MD
Adult Medicine Physician in Livingston, Texas
NPI 1508866450

Jerry D Wood is an Adult Medicine Physician based in Livingston, TX and is specialized in Adult Medicine. Jerry D Wood practices in Livingston, TX and has the professional credentials of MD. The NPI Number for Jerry D Wood is 1508866450 and holds a License No. G0304 (Texas).

The current practice location address for Jerry D Wood is 219 Eastwood St, Livingston, TX and can be reached out via phone at 936-327-7147 and via fax at 936-327-6234.

Location: 219 Eastwood St, Livingston, TX, 77351-3342
person
Provider Profile Details
NPI Number
1508866450
Provider Name
Jerry D Wood
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
219 Eastwood St, Livingston, TX, 77351-3342
Phone Number
936-327-7147
Fax Number
936-327-6234
Provider Enumeration Date
07/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87W460 01 TX BLUECROSS BLUESHIELD
080005306 01 TX RAILROAD MEDICARE
133935003 05 TX
76-0090075 01 TX FIN
institution
Provider Business Practice Location Address Details
Address
219 Eastwood St
City
State
Zip
77351-3342
Phone Number
936-327-7147
Fax Number
936-327-6234
person
Provider Business Mailing Address Details
Address
219 Eastwood St
City
State
Zip
77351-3342
Phone Number
936-327-7147
Fax Number
936-327-6234
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
G0304 (Texas)
Definition
Definition to come.
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