Individual
DR. GLEN BRUCE HAKE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1710 SMALL ST, GRAND PRAIRIE, TX 75050-6041
(972) 266-9123
(972) 266-7383
Mailing address
3100 MAIN ST, #358, DALLAS, TX 75226-1535
(214) 815-7484
(972) 266-7383
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6160
TX
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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