Glaze, Tommy

Glaze, Tommy is an sole proprietor health care provider with primary practice located at 9519 Eaglewood Glen Trl , Houston TX 77083-6596. He recently has only one registered license in Nursing & Custodial Care Facilities / Custodial Care Facility, which is considered as his primary health care specialty. Glaze, Tommy can be contacted via phone (832) 245-4571.

Contact Information

Primary practice address
9519 Eaglewood Glen Trl Houston TX 77083-6596
Fax: (832) 664-9083
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X

Profile Details

NPI number 1902267693
LBN Legal business name Glaze, Tommy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2016
Last updated Mar 9th, 2016 - about 8 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 1902267693 NPPES
Texas Other 004010X096A1 COMMUNITY HEALTH SERVICES

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