Dr. Glen Wayne Heckman
Gynecologist
3801 Gaston Avenue Suite 200
Dallas
, Texas 75246-1619
Dr. Glen Wayne Heckman
Gynecologist
3801 Gaston Avenue Suite 200
Dallas
, Texas 75246-1619
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Glen Wayne Heckman
- 9514 Moss Haven Dr
- Dallas, TX
- Zip : 75231-2608
- Phone :
Second Address
- Dr. Glen Wayne Heckman
- 3801 Gaston Avenue Suite 200
- Dallas, TX
- Zip : 75246-1619
- Fax : (214) 821-3556
- Phone : (214) 823-9630
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | F9547 | TX |
National Provider Identifier
| NPI | 1154309656 |
|---|---|
| Provider Name | Dr. Glen Wayne Heckman |
| First Address | Dallas, TX 75231-2608 |
| Second Address | Dallas, TX 75246-1619 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/01/2006 |
| Last Update Date | 05/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 113952903 | (05) | TX |
| B23388 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.