Glenn Raymond Dooley, DC

Individual provider Active NPI Chiropractor · Dallas, TX

NPI 1831298868 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1831298868
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
6986 (TX)
Practice address
3701 W NW Hwy
#235
Dallas, TX 75220
Phone
(214) 366-1133
Fax
(214) 366-3916
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6986TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
No Pain Chiropractic Past
since Jan 1, 1990
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6986 TX Yes

Addresses

Primary practice location

3701 W NW Hwy
#235
Dallas, TX 75220

Mailing address

3701 W NW Hwy
#235
Dallas, TX 75220
Phone (214) 366-1133

Other providers in Dallas, TX

All providers in Dallas, TX · Chiropractor in Texas

Sources for this page

Verify at the official NPI Registry.