Organization · Type 2 NPI

Glenn J Wilcox

Primary Podiatric Medicine Podiatrist · Dallas, TX

NPI number 1154725372 Active

Practice location

3300 Douglas Ave, Ste B
Dallas, TX 75219-2723

Fax (214) 526-3337

Specialties and licenses

TaxonomyCodeLicense
Primary Podiatric Medicine Podiatrist Primary 213EP1101X1394 (TX)

Primary Podiatric Medicine Podiatrist: Definition to come...

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About NPI 1154725372

Glenn J Wilcox's National Provider Identifier is 1154725372, issued on Oct 17, 2014. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Dallas, TX. The record was last updated on Oct 17, 2014.