Individual
DR. GLEN JEFFREY WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3115 S 1ST ST APT 101, AUSTIN, TX 78704-6357
(512) 809-1113
(512) 641-8044
Mailing address
4309 S 1ST ST, AUSTIN, TX 78745-1128
(512) 809-1113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13583
TX
Other
Enumeration date
03/27/2018
Last updated
09/28/2022
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