Individual
DR. GLENN LEE CAVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4111 CALL FIELD RD STE 300, WICHITA FALLS, TX 76308-2542
(940) 696-2211
(940) 696-5641
Mailing address
4111 CALL FIELD RD, SUITE 300, WICHITA FALLS, TX 76308-2516
(940) 696-2211
(940) 696-5641
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4944
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P081M0034
—
TX
Enumeration date
06/09/2006
Last updated
04/14/2015
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