Glenn Stephen Wheeless in Carrollton - Sports Medicine
Glenn Stephen Wheeless - NPI 1134218779
Glenn Stephen Wheeless is a Sports Medicine in Carrollton, Texas. Glenn Stephen Wheeless practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Glenn Stephen Wheeless is 1134218779. The last update date is 2013-05-22.
Glenn Stephen Wheeless's current location address is 4780 N Josey Ln, Carrollton, Texas. You can contact this provider via phone number 9724921334 and fax number 9724925174. The mailing address for Glenn Stephen Wheeless is 4780 N Josey Ln, Carrollton, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn Stephen Wheeless |
|---|---|
| Address | 4780 N Josey Ln, Carrollton, Texas |
| Phone Number | 9724921334 |
| Fax Number | 9724925174 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1134218779 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2013-05-22 |
Provider Mailing Address Detail
| Address | 4780 N Josey Ln |
|---|---|
| City | Carrollton |
| State | Texas (TX) |
| Post Code | 750104615 |
| Phone Number | 9724921334 |
| Fax Number | 9724925174 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | G0280 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6484850003 | TX | MEDICARE NSC - EFFECT 02/01/20 | |
| 8B7873 | TX | BLUE CROSS BLUE SHIELD | |
| 8CR163 | TX | BCBS TX 02/01/2011 | |
| P00935338 | TX | RAILROAD MEDICARE | |
| TXB126769 | TX | MEDICARE PART B - EFFECT. 4-20 | |
| 123405606 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Glenn Stephen Wheeless by the Centers for Medicare & Medicaid Services?
The Glenn Stephen Wheeless has been assigned the NPI (National Provider Identifier) 1134218779. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Glenn Stephen Wheeless?
The Glenn Stephen Wheeless is physically situated at 4780 N Josey Ln, in the city of Carrollton, state of TX, with the postal code 750104615.
What is Glenn Stephen Wheeless's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Glenn Stephen Wheeless is Sports Medicine, and the corresponding taxonomy classification code for this specialized field is 207Xx0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1134218779 to Glenn Stephen Wheeless?
The Centers for Medicare & Medicaid Services originally issued the 1134218779 to Glenn Stephen Wheeless on 2006-10-12.
As of what date was the information pertaining to Glenn Stephen Wheeless, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Glenn Stephen Wheeless, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-05-22.
NPI Number: 1912900614
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