Individual
MR. GLEN WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TECHNICAL ASSISTAN
Contact information
Practice address
1701 N HAMPTON RD, SUITE A, DESOTO, TX 75115-2387
(682) 597-3425
(817) 472-5832
Mailing address
1701 N HAMPTON RD, SUITE A, DESOTO, TX 75115-2387
(682) 597-3425
(817) 472-5832
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
261QS1200X
TX
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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