IndividualActive
Glen Adams, LP, CCP
NPI 1053535757 · Perfusionist · Dallas, TX
Provider details
- NPI number
- 1053535757
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- LP, CCP
- Sex
- Male
- Sole proprietor
- No
- License
- PF0046 (TX)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
3409 Worth St
Suite 725
Dallas, TX 75246-2029
Phone: (214) 824-2510
Approximate (ZIP-level) locationGet directions
Mailing address
7317 Wake Forrest Dr
Dallas, TX 75214-1750
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.