Wesley S. Glazener, Md, Pa

NPI 1508083130 - Pediatrics - 208000000X

NPI Details
NPI 1508083130
Enumeration Date 04/18/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WESLEY STANTON WESLEY
Position OWNER
Phone (512) 454-8691
Fax (512) 454-4238
Practice Location
1305 W 34TH ST
#206
AUSTIN TX, 78705-1923, US
Phone (512) 454-8691
Fax (512) 454-4238
Business Location
1305 W 34TH ST
#206
AUSTIN TX, 78705-1923, US
Phone (512) 454-8691
Fax (512) 454-4238
Toxanomy
Taxonomy Code 208000000X
License State Texas
License Number H7305
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According to our database, Wesley S. Glazener, Md, Pa NPI is 1508083130, taxonomy code is 208000000X and license number is H7305, license state is located at Texas. Wesley S. Glazener, Md, Pa physically located at 1305 W 34th St, Austin TX, 78705-1923. NPI Number 1033115704 has the healthcare provider type.

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1508083130 NPI number is provided on an as is basis without warranty of any kind. 1508083130 is maintained by the National Plan & Provider Enumeration System. The contents of Wesley S. Glazener, Md, Pa are for informational purposes only.