National Provider Identifier Database

GLYNN J PICKENS, MD – NPI #1720023070
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

GLYNN J PICKENS, MD
890 ROCKWALL PKWY
SUITE 110
ROCKWALL, TX75032-6872
Phone: 972-276-6191
Fax: 972-454-6893
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for GLYNN J PICKENS

NPI Number 1720023070
Credentials MD
Entity Individual
Enumeration date 06/19/2006
Last updated 01/31/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • TX License #: J0199
  • TX Medicaid: 045376302
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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