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

Mr. Glen D Adams, LP, CCP is a Perfusionist based in Dallas, TX. Mr. Glen D Adams, LP, CCP holds the professional credentials of LP, CCP. The NPI number for Mr. Glen D Adams, LP, CCP is 1053535757 and holds license No. PF0046 (TX). The current practice location address is 3409 Worth St, Suite 725, Dallas, TX 75246-2029 and the office can be reached by phone at 214-824-2510. The NPI was assigned on April 12, 2007 and the record was last updated in NPPES on July 8, 2007.

●Provider Profile Details

NPI Number
1053535757
Provider Name
Glen David Adams
Credential
LP, CCP
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Perfusionist · 242T00000X
Sole Proprietor
No
Enumeration Date
April 12, 2007
Last Update Date
July 8, 2007
NPI Status
Active

◉Business Practice Location Address

Address
3409 Worth St
Suite 725
Dallas, TX 75246-2029
City
Dallas
State
Texas
ZIP
75246-2029
Country
US
Phone Number
214-824-2510

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✉Business Mailing Address

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

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Perfusionist242T00000XYesPF0046TX

#Other Provider Identifiers

No legacy or other 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) and holds license No. PF0046 (TX).

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 at npiregistry.cms.hhs.gov.

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