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NPI Code Detail

MEDICARE: DR. GLENN RAYMOND DOOLEY DC

MEDICARE:  DR. GLENN RAYMOND DOOLEY  DC
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
1111N00000XChiropractor6986TX

General Provider Information

NPI Number : 1831298868
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GLENN RAYMOND DOOLEY DC
Provider Business Mailing Address
First Line : 3701 W NW HWY
Second Line : #235
City : DALLAS
State : TX
Zip : 75220
Country : US
Telephone Number : 214-366-1133
Fax Number : 214-366-3916
Provider Business Practice Location Address
First Line : 3701 W NW HWY
Second Line : #235
City : DALLAS
State : TX
Zip : 75220
Country : US
Telephone Number : 214-366-1133
Fax Number : 214-366-3916
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 07/08/2007

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Directions to “ DR. GLENN RAYMOND DOOLEY DC” Practice Location

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