Individual
MR. GLEN DAVID ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP, CCP
Contact information
Practice address
3409 WORTH ST, SUITE 725, DALLAS, TX 75246-2029
(214) 824-2510
Mailing address
7317 WAKE FORREST DR, DALLAS, TX 75214-1750
(214) 503-6144
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
PF0046
TX
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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