DR. GLENN JOSEPH WILCOX (NPI# 1659443935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659443935 |
| Entity Type | Individual |
| Full Name | DR. GLENN JOSEPH WILCOX |
| Credential | DPM |
| Practice Address |
3300 Douglas Ave Dallas TX 75219 |
| Practice Telephone | 2145263336 |
| Practice Fax Number | 2145263337 |
| Mailing Telephone | 2145263336 |
| Mailing Fax Number | 2145263337 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 963253170501 | UT | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 1394 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | F00104E9 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720141286 | Glenn Lockhart Wilcox | General Practice | 5353 Wyoming Blvd Ne, Suite 4, Albuquerque, NM 87109-3132 | 2006-12-18 |
| Street Address |
3300 DOUGLAS AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154725372 | Glenn J Wilcox | Podiatrist | 3300 Douglas Ave, Ste B, Dallas, TX 75219-2723 | 2014-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421666 | Jennifer Henry Furlong | Counselor | 3500 Oak Lawn Ave Ste 720, Dallas, TX 75219 | 2019-11-14 |
| 1174082150 | Cmdpn Medical Group of Texas, P.a. | Clinic/Center | 3838 Oak Lawn Ave, Suite 1000, Pmb 1123, Dallas, TX 75219 | 2019-03-18 |
| 1245700871 | Reginald Deloatch | Day Training/Habilitation Specialist | 4123 Cedar Springs Roafd, Apt. 2332, Dallas, TX 75219 | 2018-11-27 |
| 1255815429 | Elk Monitoring,pllc | Electrodiagnostic Medicine | 4848 Lemmon Ave Suite 100 #321, Highland Park, TX 75219 | 2018-09-24 |
| 1255811154 | Matias Haller | Physical Therapist | 3131 Rurtle Creek Blvd, #615, Dallas, TX 75219 | 2018-08-20 |
| 1750861795 | Darya Semenyuk | Counselor | 3720 Rawlins St. Suite I, Dallas, TX 75219 | 2018-08-20 |
| 1144716580 | My Health & Homecare Transportation Inc | Non-emergency Medical Transport (VAN) | 3710 Rawlins St Ste 1420, Dallas, TX 75219 | 2018-07-09 |
| 1750876785 | David Dwayne Weir | Registered Nurse | 3883 Turtle Creek Blvd Apt 818, Dallas, TX 75219 | 2018-06-22 |
| 1053802264 | Stem Cell Pros LLC | Durable Medical Equipment & Medical Supplies | 4100 Harry Hines Blvd Ste 300, Dallas, TX 75219 | 2018-05-23 |
| 1346749231 | White Dental Limited Company Pllc | Clinic/Center | 3878 Oak Lawn Avenue Suite 310, Dallas, TX 75219 | 2018-02-06 |
| Find all providers in zip 75219 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235658659 | Eldercare Services, LLC | Podiatrist | 9540 Garland Rd Ste 123, Dallas, TX 75218-5004 | 2017-09-18 |
| 1033668173 | Amanda Killeen | Podiatrist | 5323 Harry Hines Blvd # F4.310, Dallas, TX 75390-0001 | 2016-09-30 |
| 1841606506 | Feetbeyond, Inc. | Podiatrist | 13331 Preston Rd Ste 2016, Dallas, TX 75240-1131 | 2014-07-02 |
| 1801065776 | Southwest Podiatry, LLP | Podiatrist | 7777 Forest Ln Ste C435, Dallas, TX 75230-6842 | 2008-02-26 |
| 1568667962 | Ashley K Meusa | Podiatrist | 2922 Mlk Jr Blvd Bldg B, Dallas, TX 75215-2321 | 2007-06-18 |
| 1871707927 | Gary Jay Kaiserman | Podiatrist | 2431 W Kiest Blvd, Dallas, TX 75233-2305 | 2007-05-09 |
| 1790998243 | Vera Stern | Podiatrist | 5925 Forest, #130, Dallas, TX 75230 | 2007-05-08 |
| 1336270826 | Lonnie Schwartz | Podiatrist | 4137 Stanford Ave, Dallas, TX 75225-6930 | 2007-03-08 |
| 1477690071 | Barry Schrager, Dpm, P.a. | Podiatrist | 5459 La Sierra, 101, Dallas, TX 75230 | 2007-01-31 |
| 1558439026 | Willie Larry Lundy | Podiatrist | 2416 Martin Luther King Jr Blvd, Dallas, TX 75215-2303 | 2006-12-01 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.