MEDICARE: DAVID GLENN LEHENBAUER MD

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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	P7492	TX
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	50932	KY
3	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	35.137228	OH
4	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	01085219A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720217870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID GLENN LEHENBAUER MD

Provider Business Mailing Address
First Line	:	1935 MEDICAL DISTRICT DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-7701
Country	:	US
Telephone Number	:	215-456-5000
Fax Number	:	214-456-5015

Provider Business Practice Location Address
First Line	:	1935 MEDICAL DISTRICT DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-7701
Country	:	US
Telephone Number	:	215-456-5000
Fax Number	:	214-456-5015

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

Provider Enumeration Date	:	07/10/2009
Last Update Date	:	06/09/2026

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Directions to “ DAVID GLENN LEHENBAUER MD” Practice Location

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