Ihde Surgical Group, Pa

NPI 1255426714 - Specialist - 174400000X

NPI Details
NPI 1255426714
Enumeration Date 10/03/2006
Last Updated 01/17/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GLENN MICHAEL GLENN
Position PRESIDENT
Phone (817) 467-3000
Fax (817) 467-3001
Practice Location
515 W. MAYFIELD
SUITE 402
ARLINGTON TX, 76014, US
Phone (817) 467-3000
Fax (817) 467-3001
Business Location
515 W. MAYFIELD
SUITE 402
ARLINGTON TX, 76014, US
Phone (817) 467-3000
Fax (817) 467-3001
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Ihde Surgical Group, Pa NPI is 1255426714, taxonomy code is 174400000X Ihde Surgical Group, Pa physically located at 515 W. Mayfield, Arlington TX, 76014. NPI Number 1033115704 has the healthcare provider type.

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1255426714 NPI number is provided on an as is basis without warranty of any kind. 1255426714 is maintained by the National Plan & Provider Enumeration System. The contents of Ihde Surgical Group, Pa are for informational purposes only.