Individual provider · Type 1 NPI

Glenn Lee Pride Jr., MD

Vascular & Interventional Radiology Physician · Dallas, TX

NPI number 1295790012 Active

Practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7208

Fax (214) 645-2301

Mailing address

PO Box 845347
Dallas, TX 75284-5347

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician Primary 2085R0204XJ0635 (TX)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1295790012

Glenn Lee Pride Jr., MD's National Provider Identifier is 1295790012, issued on Apr 18, 2006. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Dallas, TX. The record was last updated on Dec 17, 2018.