Search › Texas › 122300000X
Russell Glenn, DDO
NPI 1801904321 · on the registry since 2006 · sole proprietor
Practice
- Address
- 573 W Pioneer Pkwy
Grand Prairie, TX 75051 - Phone
- (972) 642-5775
- Fax
- (972) 642-1251
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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