Mccloud, Glenda Butler

Mccloud, Glenda Butler is an individual health care provider with primary practice located at 2990 N Broadway Ave , Tyler TX 75702-2149. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Mccloud, Glenda Butler can be contacted via phone (903) 593-1892.

Contact Information

Primary practice address
2990 N Broadway Ave Tyler TX 75702-2149
Fax: (903) 592-3886
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 502708 Texas

Profile Details

NPI number 1790999779
LBN Legal business name Mccloud, Glenda Butler
Credentials RN, BSN
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Jul 8th, 2007 - about 18 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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