Elijah Camilo Wood
Physician Assistant, Medical in Hudson Oaks, TX. Individual provider (NPI-1).
NPI number1336725936
StatusActive
Last updated in NPPESMar 23, 2021
Details
- NPI
- 1336725936
- Entity type
- Individual (NPI-1)
- Name
- Elijah Camilo Wood
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 23, 2021
- Certification date
- Mar 23, 2021
- Last updated
- Mar 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA14332 | TX | Yes |
Practice location
113 Green Oaks CtHudson Oaks, TX 76087-8900
Phone 210-569-3941
Mailing address
113 Green Oaks CtHudson Oaks, TX 76087-8900
Phone 210-569-3941
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