David W. Glenn M.D. Pa

LBN: David W. Glenn M.D. Pa
David W. Glenn M.D. Pa is an health care organization with primary practice located at 1111 W Frank Ave Ste 100 , Lufkin TX 75904-3390. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. David W. Glenn M.D. Pa can be contacted via phone (936) 639-2244, or through Glenn, David W via phone (936) 639-2244.

Contact Information

Primary practice address
1111 W Frank Ave Ste 100 Lufkin TX 75904-3390
Phone: (936) 639-2244
Fax: (936) 634-9334
Website:
Map and Directions
Authorized official contact:
Name: Glenn, David W Doctor of Medicine (MD)
Phone: (936) 639-2244

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1427186485
LBN Legal business name David W. Glenn M.D. Pa
DBA Doing business as
Authorized official Glenn, David W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Jun 12th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427186485 NPPES
Texas MEDICAID 179088301
Texas Other 0064PY

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