Individual
GLEN T PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3303 LEE PKWY, 220, DALLAS, TX 75219-5108
(214) 522-5120
(214) 522-5488
Mailing address
3303 LEE PKWY, 220, DALLAS, TX 75219-5108
(214) 522-5120
(214) 522-5488
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
D8594
TX
Other
Enumeration date
12/07/2007
Last updated
12/11/2007
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