DR. GLEN WAYNE HECKMAN M.D. NPI 1154309656

NPI Information

  • NPI: 1154309656
  • Provider Name: DR. GLEN WAYNE HECKMAN, M.D.
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Individual
  • Address: 3801 GASTON AVENUE
    SUITE 200
    DALLAS, TX
    ZIP 75246
  • Phone: (214) 823-9630

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NPI Details

DR. Glen Wayne Heckman, M.D. is a gynecology obstetrics gynecology in Dallas, TX. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee DR. Glen Wayne Heckman, M.D. NPI is 1154309656. 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:

3801 GASTON AVENUE
SUITE 200
DALLAS, TX
ZIP 75246-619
Phone: (214) 823-9630
Fax: (214) 821-3556

The enumeration date for this NPI number is 1/4/2006 and was last updated on 10/5/2011.

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
1207VG0400XObstetrics & GynecologyGynecologyF9547TEXASYes

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
1113952903MEDICAIDTEXAS
282W100MEDICARE ID-TYPE UNSPECIFIEDTEXAS
3B23388MEDICARE UPINTEXAS

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: 3/30/2025

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