Garner, Glen
Garner, Glen is an individual health care provider with primary practice located at 11914 Astoria Blvd Ste 575 , Houston TX 77089-6080. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Garner, Glen can be contacted via phone (281) 929-4420.Contact Information
Primary practice address
11914 Astoria Blvd Ste 575
Houston TX 77089-6080
Phone: (281) 929-4420
Fax: (281) 929-4421
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | K4689 | Texas |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | K4689 | Texas |
Profile Details
NPI number | 1558364588 |
---|---|
LBN Legal business name | Garner, Glen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2005 |
Last updated | Sep 12th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558364588 | NPPES |
Texas | MEDICAID | 152279901 |
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