MEDICARE: DR. GLENDA NUCKOLS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	17443	TX

General Provider Information

NPI Number	:	1508861931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GLENDA NUCKOLS DDS

Provider Business Mailing Address
First Line	:	181 FM 3237
Second Line	:
City	:	WIMBERLEY
State	:	TX
Zip	:	78676-5324
Country	:	US
Telephone Number	:	512-847-8934
Fax Number	:	512-847-6262

Provider Business Practice Location Address
First Line	:	181 FM 3237
Second Line	:
City	:	WIMBERLEY
State	:	TX
Zip	:	78676-5324
Country	:	US
Telephone Number	:	512-847-8934
Fax Number	:	512-847-6262

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	10/15/2009

Similar Medicare Providers

1700043874 — DR. JENNIFER MICHELLE ROE D.D.S
Practice Location Address:

181 FM 3237
WIMBERLEY, TX
78676-5324

Practice Phone: 512-847-8934
Practice Fax:

1306171947 — GLENDA NUCKOLS, PC
Practice Location Address:

181 FM 3237
WIMBERLEY, TX
78676-5324

Practice Phone: 512-847-8934
Practice Fax: 512-847-6262

1760333470 — WILDFLOWER SPRINGS MANAGER LLC
Practice Location Address:

501 FM 3237
WIMBERLEY, TX
78676-5311

Practice Phone: 512-554-5900
Practice Fax: 866-731-7135

1932104353 — DR. ROGER DEVERN PRUITT D.O.
Practice Location Address:

180 JOE WIMBERLEY BLVD , STE 102
WIMBERLEY, TX
78676-6083

Practice Phone: 512-847-7700
Practice Fax: 512-847-7701

1205835071 — DR. JUAN IVAN RAMIREZ M.D.
Practice Location Address:

9670 RANCH ROAD 12
WIMBERLEY, TX
78676-5238

Practice Phone: 512-847-6789
Practice Fax: 512-847-7968

1285632075 — DR. KENNETH B HUDSPETH M.D.
Practice Location Address:

12941 RANCH ROAD 12
WIMBERLEY, TX
78676-5218

Practice Phone: 512-847-6789
Practice Fax: 512-847-7968

Directions to “ DR. GLENDA NUCKOLS DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.