Organization
PARKHILL MEDICAL, LLC
Active
Organization
PARKHILL MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN RAY WYANT M.D. (MANAGING PARTNER/CEO)
(817) 421-1066
Entity
Organization
Contact information
Practice address
1900 ENCHANTED WAY, SUITE 100, GRAPEVINE, TX 76051-0965
(817) 421-1066
(817) 886-3657
Mailing address
1900 ENCHANTED WAY, SUITE 100, GRAPEVINE, TX 76051-0965
(817) 421-1066
(817) 886-3657
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP3000X
Pediatric Anesthesiology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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