Individual
DR. GLYNN JOHN PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
890 ROCKWALL PKWY, SUITE 110, ROCKWALL, TX 75032-6872
(972) 276-6191
(972) 454-6893
Mailing address
3600 GASTON AVE, SUITE 1205, DALLAS, TX 75246-1800
(214) 692-8262
(214) 696-4190
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
J0199
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045376302
—
TX
Enumeration date
06/19/2006
Last updated
01/31/2017
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