person
Jeffery C Mcglothlin, MD
Neurology with Special Qualifications in Child Neurology Physician in Fort Worth, Texas
NPI 1104921873

Jeffery C Mcglothlin is a Neurology with Special Qualifications in Child Neurology Physician based in Fort Worth, TX and is specialized in Neurology with Special Qualifications in Child Neurology. Jeffery C Mcglothlin practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Jeffery C Mcglothlin is 1104921873 and holds a License No. H5469 (Texas).

The current practice location address for Jeffery C Mcglothlin is 1500 Cooper St, Fort Worth, TX and can be reached out via phone at 682-885-2500 and via fax at 682-885-2510. You can also correspond with Jeffery C Mcglothlin through the mailing address at PO BOX 99371, FORT WORTH, TX - 76199-0371 (mailing address contact number: 682-885-1855).

Location: 1500 Cooper St, Fort Worth, TX, 76199-0371
person
Provider Profile Details
NPI Number
1104921873
Provider Name
Jeffery C Mcglothlin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1500 Cooper St, Fort Worth, TX, 76199-0371
Phone Number
682-885-2500
Fax Number
682-885-2510
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
123977 01 TX SUPERIOR PIN
4397262 01 TX AETNA PIN
10010109 01 TX AMERIGROUP PIN
87V784 01 TX BCBSTX IND PIN
9360939 01 TX CIGNA PIN
1750369203 01 TX GPR NPI NUMBER
00U87Z 01 TX BCBSTX GRP PIN
119063100 01 TX FIRSTCARE PIN
023247201 05 TX
120608801 05 TX
120608802 05 TX
140442803 05 TX
1436086 01 TX UHC PIN
1640340 01 TX FIRSTHEALTH PIN
institution
Provider Business Practice Location Address Details
Address
1500 Cooper St
City
State
Zip
76104-2710
Phone Number
682-885-2500
Fax Number
682-885-2510
person
Provider Business Mailing Address Details
Address
Po Box 99371
City
State
Zip
76199-0371
Phone Number
682-885-1855
Fax Number
682-885-7347
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
License No.
H5469 (Texas)
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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