NPI 1053535757

Glen David Adams, LPCCP

Practitioner Perfusionist Dallas, TX

Practice location

Address: 3409 Worth St Suite 725, Dallas, TX 75246-2029
Phone: (214) 824-2510
Mailing address: 7317 Wake Forrest Dr, Dallas, TX 75214-1750

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence PF0046 (TX)

Other Perfusionist providers in Texas →

Registry record

NPI: 1053535757
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.