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Mr. Glen Eldon Tullous III, FNP-C
Family Nurse Practitioner in Fort Worth, Texas
NPI 1720652167

Glen Eldon Tullous III is a Family Nurse Practitioner based in Fort Worth, TX and is specialized in Family. Glen Eldon Tullous III practices in Fort Worth, TX and has the professional credentials of FNP-C. The NPI Number for Glen Eldon Tullous III is 1720652167 and holds a License No. 1023704 (Texas).

The current practice location address for Glen Eldon Tullous III is 1001 Pennsylvania Ave, Fort Worth, TX and can be reached out via phone at 817-877-5858.

Location: 1001 Pennsylvania Ave, Fort Worth, TX, 76104-3029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720652167
Provider Name
Glen Eldon Tullous III
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
1001 Pennsylvania Ave, Fort Worth, TX, 76104-3029
Phone Number
817-877-5858
Fax Number
Provider Enumeration Date
05/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1001 Pennsylvania Ave
City
Fort Worth
State
Texas
Zip
76104-2228
Phone Number
817-877-5858
Fax Number
person
Provider Business Mailing Address Details
Address
1001 Pennsylvania Ave
City
Fort Worth
State
Texas
Zip
76104-2228
Phone Number
817-877-5858
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1023704 (Texas)
Definition
Definition to come...
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