Provider Demographics
NPI:1336321280
Name:GLEN T. GARLINGTON, D.C., P.A.
Entity Type:Organization
Organization Name:GLEN T. GARLINGTON, D.C., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GLEN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:GARLINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC, PA
Authorized Official - Phone:817-572-7941
Mailing Address - Street 1:1406 W RANDOL MILL RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-3115
Mailing Address - Country:US
Mailing Address - Phone:817-572-7941
Mailing Address - Fax:817-261-8091
Practice Address - Street 1:1406 W RANDOL MILL RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-3115
Practice Address - Country:US
Practice Address - Phone:817-572-7941
Practice Address - Fax:817-261-8091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC5961111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty