institution
Jerry D Wood
Specialist in Livingston, Texas
NPI 1922294032

Jerry D Wood is a Specialist based in Livingston, TX. Jerry D Wood practices in Livingston, TX. The NPI Number for Jerry D Wood is 1922294032 and holds a License No. G0304 (Texas).

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

Location: 219 North Eastwood Ave, Livingston, TX, 77351
institution
Provider Profile Details
NPI Number
1922294032
Provider Name
Jerry D Wood
Credential
Provider Entity Type
Organization
Address
219 North Eastwood Ave, Livingston, TX, 77351
Phone Number
936-327-7147
Fax Number
936-327-6234
Provider Enumeration Date
09/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
093953001 05 TX
00N68X 01 TX BLUECROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
219 North Eastwood Ave
City
State
Zip
77351
Phone Number
936-327-7147
Fax Number
936-327-6234
person
Provider Business Mailing Address Details
Address
219 North Eastwood Ave
City
State
Zip
77351
Phone Number
936-327-7147
Fax Number
936-327-6234
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
G0304 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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