Brian Dale Glaser D.O.

NPI 1083672067 - Family Medicine - 207Q00000X

NPI Details
NPI 1083672067
Gender Male
Enumeration Date 05/01/2006
Last Updated 02/16/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
3400 LONG PRAIRIE ROAD
SUITE 200
FLOWER MOUND TX, 75022-2706, US
Phone (972) 899-6300
Fax (972) 899-6020
Business Location
3400 LONG PRAIRIE ROAD
SUITE 200
FLOWER MOUND TX, 75022-2706, US
Phone (972) 899-6300
Fax (972) 899-6020
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number L6912
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According to our database, Brian Dale Glaser D.O. NPI is 1083672067, taxonomy code is 207Q00000X and license number is L6912, license state is located at Texas. Brian Dale Glaser D.O. physically located at 3400 Long Prairie Road, Flower Mound TX, 75022-2706. NPI Number Brian Dale Glaser D.O. has the Individual type.

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1083672067 NPI number is provided on an as is basis without warranty of any kind. 1083672067 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Dale Glaser D.O. are for informational purposes only.