Glaze, Daniel G

Glaze, Daniel G is an individual health care provider with primary practice located at 6701 Fannin St , Houston TX 77030-2316. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Glaze, Daniel G can be contacted via phone (832) 822-1764.

Contact Information

Primary practice address
6701 Fannin St Houston TX 77030-2316
Phone: (832) 822-1764
Fax: (832) 825-3504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X E2575 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E2575 Texas

Profile Details

NPI number 1649261884
LBN Legal business name Glaze, Daniel G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Oct 13th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649261884 NPPES
Texas MEDICAID 138309310
Texas MEDICAID 138309302
Texas MEDICAID 138309303

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