Active NPI
Carol a. Wood D.O., PA
- Family Medicine Physician
- Mansfield, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L9965
- Legal business name
- CAROL A. WOOD D.O., PA
- Practice address
- 1751 Broad Park Circle South
Suite 203
Mansfield, TX 76063 - Phone
- (817) 539-7377
- NPI assigned
- Nov 6, 2007
- Last updated
- Nov 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carol A. Wood, D.O.
- Title
- President
- Phone
- (817) 539-7377
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L9965 | TX | Primary |
Addresses
Primary practice location
1751 Broad Park Circle South
Suite 203
Mansfield, TX 76063
Mailing address
1807 Valley View Dr
Cedar Hill, TX 75104-7843
Phone (817) 539-7377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942220975 | Other | TX | PROVIDER INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryLocations
1751 Broad Park Cir S
Ste 203
Mansfield, TX 76063
Phone (682) 341-5046
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Mansfield, TX
- NPI 1942220975
-
- Family Medicine Physician
- Mansfield, TX
- NPI 1013073428
-
- Physician Assistant
- Arlington, TX
- NPI 1740502608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194307200000",
"number": "1245410356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1807 VALLEY VIEW DR",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751047843",
"telephone_number": "817-539-7377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 BROAD PARK CIRCLE SOUTH",
"address_2": "SUITE 203",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "76063",
"telephone_number": "817-539-7377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROL A. WOOD D.O., PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-06",
"last_updated": "2007-11-06",
"status": "A",
"authorized_official_last_name": "WOOD",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-539-7377",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L9965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER INDIVIDUAL NPI",
"identifier": "1942220975",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.