Organization
MINIMALLY INVASIVE BARIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN MICHAEL IHDE II MD (PRESIDENT)
(817) 467-3000
Entity
Organization
Contact information
Practice address
515 W MAYFIELD RD, SUITE 402, ARLINGTON, TX 76014-2083
(817) 467-3000
(817) 467-3001
Mailing address
515 W MAYFIELD RD, SUITE 402, ARLINGTON, TX 76014-2083
(817) 467-3000
(817) 467-3001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K6010
TX
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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