Jeffery C Mcglothlin
Child Neurologist
1500 Cooper St
Fort Worth
, Texas 76104-2710
Jeffery C Mcglothlin
Child Neurologist
1500 Cooper St
Fort Worth
, Texas 76104-2710
(682) 885-7347
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About
Features
Specialties
- Child Neurologist
Languages spoken
- English
Location
First Address
- Jeffery C Mcglothlin
- Po Box 99371
- Fort Worth, TX
- Zip : 76199-0371
- Fax : (682) 885-7347
- Phone : (682) 885-1855
Second Address
- Jeffery C Mcglothlin
- 1500 Cooper St
- Fort Worth, TX
- Zip : 76104-2710
- Fax : (682) 885-2510
- Phone : (682) 885-2500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0402X | Child Neurologist | H5469 | TX |
National Provider Identifier
| NPI | 1104921873 |
|---|---|
| Provider Name | Jeffery C Mcglothlin |
| First Address | Fort Worth, TX 76199-0371 |
| Second Address | Fort Worth, TX 76104-2710 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/09/2006 |
| Last Update Date | 02/04/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00U87Z | BCBSTX GRP PIN (01) | TX |
| 023247201 | (05) | TX |
| 10010109 | AMERIGROUP PIN (01) | TX |
| 119063100 | FIRSTCARE PIN (01) | TX |
| 120608801 | (05) | TX |
| 120608802 | (05) | TX |
| 123977 | SUPERIOR PIN (01) | TX |
| 140442803 | (05) | TX |
| 1436086 | UHC PIN (01) | TX |
| 1640340 | FIRSTHEALTH PIN (01) | TX |
| 1750369203 | GPR NPI NUMBER (01) | TX |
| 4397262 | AETNA PIN (01) | TX |
| 87V784 | BCBSTX IND PIN (01) | TX |
| 9360939 | CIGNA PIN (01) | TX |
| F58793 | (02) |
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.