Active NPIIndividual provider

Mr. Glen D Adams, LP, CCP

Perfusionist in Dallas, Texas

NPI Number1053535757
Practice location
3409 Worth St, Suite 725, Dallas, TX 75246-2029
Fax
—
Last updated
July 8, 2007

Glen David Adams is a Perfusionist based in Dallas, TX. Glen David Adams practices in Dallas, TX and has the professional credentials of LP, CCP. The NPI Number for Glen David Adams is 1053535757 and holds a License No. PF0046 (TX). The current practice location address for Glen David Adams is 3409 Worth St, Suite 725, Dallas, TX 75246-2029 and can be reached out via phone at 214-824-2510.

Provider Profile Details

NPI Number
1053535757
Provider Name
Glen David Adams
Credential
LP, CCP
Provider Entity Type
Individual
Gender
Male
Address
3409 Worth St, Suite 725, Dallas, TX 75246-2029
Phone Number
214-824-2510
Primary Taxonomy
Perfusionist · 242T00000X
Sole Proprietor
No
Provider Enumeration Date
April 12, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
3409 Worth St
Suite 725
Dallas, TX 75246-2029
City
Dallas
State
Texas
Zip
75246-2029
Phone Number
214-824-2510
Dallas, TX 75246Get directions →

Provider Business Mailing Address Details

Address
7317 Wake Forrest Dr
Dallas, TX 75214-1750
City
Dallas
State
TX
Zip
75214-1750
Phone Number
214-503-6144

License Information

License Number
PF0046
License State
TX
Taxonomy
Perfusionist · 242T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Glen D Adams, LP, CCP?

The NPI number of Mr. Glen D Adams, LP, CCP is 1053535757. It was assigned on April 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Glen D Adams, LP, CCP?

Mr. Glen D Adams, LP, CCP is registered under the primary taxonomy Perfusionist (code 242T00000X), licensed in TX under license number PF0046.

Where does Mr. Glen D Adams, LP, CCP practice?

The practice location is 3409 Worth St, Suite 725, Dallas, TX 75246-2029. The office can be reached at 214-824-2510 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053535757 directly on the NPPES registry website.

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