Individual
DR. GLENN JOSEPH WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3300 DOUGLAS AVE, DALLAS, TX 75219
(214) 526-3336
(214) 526-3337
Mailing address
3300 DOUGLAS AVE, DALLAS, TX 75219
(214) 526-3336
(214) 526-3337
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1394
TX
213E00000X
Podiatrist
963253170501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F00104E9
—
TX
Enumeration date
11/14/2006
Last updated
07/08/2007
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