JEFFERY C MCGLOTHLIN MD NPI 1104921873

NPI Information

NPI: 1104921873
Provider Name: JEFFERY C MCGLOTHLIN, MD
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
1500 COOPER ST
FORT WORTH, TX
ZIP 76104
Phone: (682) 885-2500
Get Directions

Jeffery C Mcglothlin, MD is a neurology with special qualifications in child neurology psychiatry neurology in Fort Worth, TX. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Jeffery C Mcglothlin, MD NPI is 1104921873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1500 COOPER ST
FORT WORTH, TX
ZIP 76104-710
Phone: (682) 885-2500
Fax: (682) 885-2510

The enumeration date for this NPI number is 9/14/2006 and was last updated on 4/2/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	H5469	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	119063100	OTHER	TEXAS	FIRSTCARE PIN
2	10010109	OTHER	TEXAS	AMERIGROUP PIN
3	123977	OTHER	TEXAS	SUPERIOR PIN
4	87V784	MEDICARE PIN	TEXAS
5	87V784	OTHER	TEXAS	BCBSTX IND PIN
6	4397262	OTHER	TEXAS	AETNA PIN
7	1750369203	OTHER	TEXAS	GPR NPI NUMBER
8	023247201	MEDICAID	TEXAS
9	00L98S	MEDICARE PIN	TEXAS
10	9360939	OTHER	TEXAS	CIGNA PIN
11	1640340	OTHER	TEXAS	FIRSTHEALTH PIN
12	120608801	MEDICAID	TEXAS
13	00U87Z	OTHER	TEXAS	BCBSTX GRP PIN
14	1436086	OTHER	TEXAS	UHC PIN
15	120608802	MEDICAID	TEXAS
16	140442803	MEDICAID	TEXAS
17	F58793	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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