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Shannon B. Glass, MD
Diagnostic Radiology Physician in Tyler, Texas
NPI 1982923975

Shannon B. Glass is a Diagnostic Radiology Physician based in Dallas, TX and is specialized in Diagnostic Radiology. Shannon B. Glass practices in Tyler, TX and has the professional credentials of MD. The NPI Number for Shannon B. Glass is 1982923975 and holds a License No. (Texas).

The current practice location address for Shannon B. Glass is 11937 Us Highway 271, Tyler, TX and can be reached out via phone at 903-877-7777.

Location: 11937 Us Highway 271, Tyler, TX, 75284-1656
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982923975
Provider Name
Shannon B. Glass
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
11937 Us Highway 271, Tyler, TX, 75284-1656
Phone Number
903-877-7777
Fax Number
Provider Enumeration Date
05/31/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P02057868 01 TX MEDICARE RAIL ROAD
8JW906 01 TX BCBS
P02057870 01 TX MEDICARE RAIL ROAD
348611003 05 TX
348611004 05 TX
667447 01 TX MEDICARE
667934 01 TX MEDICARE
8JP975 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
11937 Us Highway 271
City
Tyler
State
Texas
Zip
75708
Phone Number
903-877-7777
Fax Number
person
Provider Business Mailing Address Details
Address
11937 Us Highway 271
City
Tyler
State
Texas
Zip
75708
Phone Number
903-877-7777
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
Q1611 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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