Glen Wayne Heckman, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

F9547 Issued in TX

Practice address

3801 Gaston Avenue
Suite 200
Dallas, TX 75246-1619

Phone

(214) 823-9630

Fax

(214) 821-3556

NPI assigned

Jan 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1154309656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9514 MOSS HAVEN DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 GASTON AVENUE",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461619",
            "telephone_number": "214-823-9630",
            "fax_number": "214-821-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKMAN",
        "first_name": "GLEN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "F9547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113952903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jana Hebron, LMSW
• Martin L Hechanova, M.D.
• David A Heck
• David Matthew Heck, LSA
• Alex Edward Hecker, MD
• Karen M Heckman, PA
• Hector L. Quinones
• Kiran Piyush Heda
• Hedayat Anbar D.D.S.. PA
• Saghar Susan Hedayati, M.D., M.H.S.

• Gynecology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.