Gleason, Wallace A

Gleason, Wallace A is an individual health care provider with primary practice located at 6410 Fannin St 500, Houston TX 77030-3000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Gleason, Wallace A can be contacted via phone (832) 325-7111.

Contact Information

Primary practice address
6410 Fannin St 500 Houston TX 77030-3000
Phone: (832) 325-7111
Fax: (713) 512-2230
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X E9659 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E9659 Texas

Profile Details

NPI number 1750325536
LBN Legal business name Gleason, Wallace A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Aug 3rd, 2016 - about 9 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 1750325536 NPPES
Texas Other 137015705 CSHCN
Texas Other 88Y666 CSHCN
Texas MEDICAID 137015708 CSHCN

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