Larry K Wood MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

H8526 Issued in TX

Legal business name

LARRY K WOOD MD PA

Practice address

1014 Memorial Dr
Suite 300
Denison, TX 75020-2079

Phone

(903) 465-2020

Fax

(903) 465-1606

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Larry Keith Wood, MD

Title

President

Phone

(903) 465-2020

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1720089030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 MEMORIAL DR",
            "address_2": "SUITE 300",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202079",
            "telephone_number": "903-465-2020",
            "fax_number": "903-465-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 MEMORIAL DR",
            "address_2": "SUITE 300",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202079",
            "telephone_number": "903-465-2020",
            "fax_number": "903-465-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY K WOOD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-465-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H8526",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "H8526",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "100755440A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0032HD",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148685401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Patrick Lampson
• Marilyn M Landrum, MD
• William Thomas Lankford
• Roe Alan Laporte, P.A.
• John Laranang, HIS
• Carley Rae Larson, OTR
• Angela C Latham, MD
• Connor Austin Lenderman, PTA
• Level One Allied Health
• Level One Emergency Physicians LLC

• Ophthalmology Physician in Denison, TX
• Providers in Denison, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.