| Doctor Name: | GWENDOLEN WOOD |
| NPI Number: | 1023074465 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PNP |
| License Number: | 507591 |
| Business Practice Address: | 7501 Quaker Ave Lubbock, TX - 794243367 |
| Business Phone Number: | 8067937257 |
| Business Fax Number: | 8067991568 |
| Mailing Address: | 5219 City Bank Pkwy, Ste 35 LUBBOCK |
| State: | TX |
| Postal Code: | 794073544 |
| Phone Number: | 8067857676 |
| Fax Number: | 8067857685 |
| NPI Enumeration Date: | 04/25/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 507591 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |