| Organization Name: | LARRY K WOOD MD PA |
| NPI Number: | 1720089030 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LARRY KEITH WOOD (PRESIDENT) |
| Mailing Address: | 1014 Memorial Dr Suite 300 Denison |
| State: | TX US |
| Postal Code: | 750202079 |
| Phone Number: | 9034652020 |
| Fax Number: | 9034651606 |
| NPI Enumeration Date: | 08/09/2005 |
| NPI Last Update Date: | 11/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | H8526 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |