Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 8447 | TX |
NPI | 1013095546 |
---|---|
Provider Name | Glenn Edward Helton |
First Address | The Woodlands, TX 77381-1197 |
Second Address | The Woodlands, TX 77381-1197 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 08/07/2007 |