Provider Demographics
NPI:1891781845
Name:WOOD, NATHAN T (MD)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:T
Last Name:WOOD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:601 S HARBOUR ISLAND BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5925
Mailing Address - Country:US
Mailing Address - Phone:727-322-3439
Mailing Address - Fax:800-928-7449
Practice Address - Street 1:7912 E 31ST CT STE 200
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-1334
Practice Address - Country:US
Practice Address - Phone:918-743-8200
Practice Address - Fax:918-743-8609
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-26
Last Update Date:2025-09-15
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Provider Licenses
StateLicense IDTaxonomies
OK20374207Q00000X
TXL5186207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX152425801Medicaid
H65891Medicare UPIN
TX152425801Medicaid