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Organization

JEFFREY ADELGLASS MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY MARC ADELGLASS MD (OWNER)
(972) 492-6990
Entity
Organization

Contact information

Practice address
6020 W PARKER RD STE 400, PLANO, TX 75093-8175
(972) 492-6990
(469) 298-1488
Mailing address
6020 W PARKER RD STE 400, PLANO, TX 75093-8175
(972) 492-6990
(469) 298-1488

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
F8786
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12062012336743
NPI PENDING ENUMERATION
TX
01
1891799169
NPI
TX
Enumeration date
12/06/2012
Last updated
12/06/2012
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