Edwin C. Wood, M.D., P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

E0195 Issued in TX

Legal business name

EDWIN C. WOOD, M.D., P.A.

Practice address

3642 University Blvd
Ste. 201
Houston, TX 77005-3360

Phone

(713) 667-1830

Fax

(713) 520-8139

NPI assigned

Aug 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edwin Charles Wood, M.D.

Title

President

Phone

(713) 667-1830

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144339375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3642 UNIVERSITY BLVD",
            "address_2": "STE. 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770053360",
            "telephone_number": "713-667-1830",
            "fax_number": "713-520-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3642 UNIVERSITY BLVD",
            "address_2": "STE. 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770053360",
            "telephone_number": "713-667-1830",
            "fax_number": "713-520-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN C. WOOD, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-667-1830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "E0195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.