Glenn M. Ihde, Md, PA

NPI #1114177599 in Arlington, Texas

Provider Information

NPI Number: 1114177599
Entity Type: Organization
Organization Name: Glenn M. Ihde, Md, PA
Primary Specialty: Specialist
Enumeration Date: Sep 23, 2008
Last Updated: Oct 3, 2011

Practice Location

Address: 515 W MAYFIELD RD
Address 2: SUITE 402
City: Arlington
State: Texas
ZIP Code: 76014-2083
Phone: (817) 467-3000

Authorized Official

Name: DR. GLENN MICHAEL IHDE II, MD
Title: PRESIDENT
Phone: (817) 467-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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