Pickens, Glynn John
Pickens, Glynn John is an individual health care provider with primary practice located at 890 Rockwall Pkwy Suite 110, Rockwall TX 75032-6872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Pickens, Glynn John can be contacted via phone (972) 276-6191.Contact Information
Primary practice address
890 Rockwall Pkwy Suite 110
Rockwall TX 75032-6872
Phone: (972) 276-6191
Fax: (972) 454-6893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | J0199 | Texas |
Profile Details
| NPI number | 1720023070 |
|---|---|
| LBN Legal business name | Pickens, Glynn John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Jan 31st, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720023070 | NPPES |
| Texas | MEDICAID | 045376302 |
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