person
Mr. Mark William Glass
Surgical Physician Assistant in Addison, Texas
NPI 1013021161

Mark William Glass is a Surgical Physician Assistant based in Dallas, TX and is specialized in Surgical. Mark William Glass practices in Addison, TX. The NPI Number for Mark William Glass is 1013021161 and holds a License No. PA02857 (Texas).

The current practice location address for Mark William Glass is 17051 Dallas Pkwy Ste 400, Addison, TX and can be reached out via phone at 214-370-3535 and via fax at 214-370-0004. You can also correspond with Mark William Glass through the mailing address at 5927 E UNIVERSITY BLVD APT 221, DALLAS, TX - 75206-9114 (mailing address contact number: 214-926-7117).

Location: 17051 Dallas Pkwy Ste 400, Addison, TX, 75206-9114
person
Provider Profile Details
NPI Number
1013021161
Provider Name
Mark William Glass
Credential
Provider Entity Type
Individual
Gender
Male
Address
17051 Dallas Pkwy Ste 400, Addison, TX, 75206-9114
Phone Number
214-370-3535
Fax Number
214-370-0004
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209276607 05 TX
806N48 01 TX BLUE CROSS/BLUE PIN
institution
Provider Business Practice Location Address Details
Address
17051 Dallas Pkwy Ste 400
City
State
Zip
75001-7108
Phone Number
214-370-3535
Fax Number
214-370-0004
person
Provider Business Mailing Address Details
Address
17051 Dallas Pkwy Ste 400
City
State
Zip
75001-7108
Phone Number
214-370-3535
Fax Number
214-370-0004
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA02857 (Texas)
Definition
Definition to come...
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