| Douglas Michael Wood, DO | |
|
301 W Avenue D, Garland, TX 75040-7117 | |
| (214) 557-7814 | |
| (972) 947-3057 |
| Full Name | Douglas Michael Wood |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 301 W Avenue D, Garland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962828731 | NPI | - | NPPES |
| H7258 | Other | TX | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H7258 (Texas) | Secondary |
| 208D00000X | General Practice | H7258 (Texas) | Primary |
| Entity Name | Valora Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831772052 PECOS PAC ID: 4880095983 Enrollment ID: O20210628000766 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Michael Wood, DO 301 W Avenue D, Garland, TX 75040-7117 Ph: (214) 557-7814 | Douglas Michael Wood, DO 301 W Avenue D, Garland, TX 75040-7117 Ph: (214) 557-7814 |
Leo L Fitzgerald Jr., MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 2046 Forest Lane, #180, Garland, TX 75042 Phone: 972-494-1419 Fax: 972-494-2069 | |
Annelise Natasha Ribeiro, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 675 Town Square Blvd Bldg 1a, Garland, TX 75040 Phone: 903-474-1983 Fax: 903-496-0534 |