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Organization

IHDE SURGICAL GROUP, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GLENN MICHAEL IHDE II MD (PRESIDENT)
(817) 467-3000
Entity
Organization

Contact information

Practice address
515 W. MAYFIELD, SUITE 402, ARLINGTON, TX 76014
(817) 467-3000
(817) 467-3001
Mailing address
515 W. MAYFIELD, SUITE 402, ARLINGTON, TX 76014
(817) 467-3000
(817) 467-3001

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
10/03/2006
Last updated
01/17/2008
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