Glenn M. Ihde, MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

K6010 Issued in TX

Legal business name

GLENN M. IHDE, MD, PA

Practice address

515 W Mayfield Rd
Suite 402
Arlington, TX 76014-2083

Phone

(817) 467-3000

Fax

(817) 467-3001

NPI assigned

Sep 23, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Glenn Michael Ihde II, MD

Title

President

Phone

(817) 467-3000

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1114177599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 STAINBACK RD",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751543207",
            "telephone_number": "817-467-3000",
            "fax_number": "817-467-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W MAYFIELD RD",
            "address_2": "SUITE 402",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142083",
            "telephone_number": "817-467-3000",
            "fax_number": "817-467-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN M. IHDE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "IHDE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-467-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K6010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Arlington, TX
• Providers in Arlington, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.