Heckman, Glen Wayne
Heckman, Glen Wayne is an individual health care provider with primary practice located at 3801 Gaston Avenue Suite 200, Dallas TX 75246-1619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Heckman, Glen Wayne can be contacted via phone (214) 823-9630.Contact Information
Primary practice address
3801 Gaston Avenue Suite 200
Dallas TX 75246-1619
Phone: (214) 823-9630
Fax: (214) 821-3556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | F9547 | Texas |
Profile Details
| NPI number | 1154309656 |
|---|---|
| LBN Legal business name | Heckman, Glen Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Oct 5th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154309656 | NPPES |
| Texas | MEDICAID | 113952903 |
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