Search › Texas › 111N00000X
Glen Hake, D.C
NPI 1386911741 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1710 Small St
Grand Prairie, TX 75050 - Phone
- (972) 266-9123
- Fax
- (972) 266-7383
- Organisation at this address
- Grand Prairie Wellness Ctr
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-11-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas