Individual
JEFFERY C MCGLOTHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-2500
(682) 885-2510
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
H5469
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U87Z
BCBSTX GRP PIN
TX
05
—
023247201
—
TX
01
—
10010109
AMERIGROUP PIN
TX
01
—
119063100
FIRSTCARE PIN
TX
05
—
120608801
—
TX
05
—
120608802
—
TX
01
—
123977
SUPERIOR PIN
TX
05
—
140442803
—
TX
01
—
1436086
UHC PIN
TX
01
—
1640340
FIRSTHEALTH PIN
TX
01
—
1750369203
GPR NPI NUMBER
TX
01
—
4397262
AETNA PIN
TX
01
—
87V784
BCBSTX IND PIN
TX
01
—
9360939
CIGNA PIN
TX
Enumeration date
09/14/2006
Last updated
04/02/2012
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