Wheeless, Glenn Stephen

Wheeless, Glenn Stephen is an individual health care provider with primary practice located at 4780 N Josey Ln , Carrollton TX 75010-4615. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Wheeless, Glenn Stephen can be contacted via phone (972) 492-1334.

Contact Information

Primary practice address
4780 N Josey Ln Carrollton TX 75010-4615
Phone: (972) 492-1334
Fax: (972) 492-5174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G0280 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X G0280 Texas

Profile Details

NPI number 1134218779
LBN Legal business name Wheeless, Glenn Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated May 22nd, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134218779 NPPES
Texas Other 6484850003 MEDICARE NSC - EFFECT 02/01/2011
Texas Other 8B7873 MEDICARE NSC - EFFECT 02/01/2011
Texas Other 8CR163 MEDICARE NSC - EFFECT 02/01/2011
Texas Other P00935338 MEDICARE NSC - EFFECT 02/01/2011
Texas Other TXB126769 MEDICARE NSC - EFFECT 02/01/2011
Texas MEDICAID 123405606 MEDICARE NSC - EFFECT 02/01/2011

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