Glenda Butler Mccloud in Tyler - Pediatrics
Glenda Butler Mccloud - NPI 1790999779
Glenda Butler Mccloud is a Pediatrics in Tyler, Texas. Glenda Butler Mccloud practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Glenda Butler Mccloud is 1790999779. The last update date is 2007-07-08.
Glenda Butler Mccloud's current location address is 2990 N Broadway Ave, Tyler, Texas. You can contact this provider via phone number 9035931892 and fax number 9035923886. The mailing address for Glenda Butler Mccloud is 2990 N Broadway Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenda Butler Mccloud |
|---|---|
| Address | 2990 N Broadway Ave, Tyler, Texas |
| Phone Number | 9035931892 |
| Fax Number | 9035923886 |
| Sole Proprietor | N |
| Credentials | RN, BSN |
NPI Number Detail
| NPI Number | 1790999779 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2990 N Broadway Ave |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757022149 |
| Phone Number | 9035931892 |
| Fax Number | 9035923886 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 163Wp0200X |
| Licence No | 502708 |
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Definition: A registered nurse who cares for infant, child, and adolescent patients. |
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Post Comment/ Review Below
What is the Glenda Butler Mccloud's 1790999779?
The Glenda Butler Mccloud's NPI (National Provider Identifier) Number is 1790999779. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Glenda Butler Mccloud's physical address?
The Glenda Butler Mccloud is physically located at 2990 N Broadway Ave, in the city of Tyler, TX, with the postal code 757022149.
What is Glenda Butler Mccloud's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Glenda Butler Mccloud's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 163Wp0200X.
On what date did the Glenda Butler Mccloud receive its 1790999779 assignment from the Centers for Medicare & Medicaid Services?
The Glenda Butler Mccloud was assigned its 1790999779 by the Centers for Medicare & Medicaid Services on 2007-05-09.
As of what date were the details related to Glenda Butler Mccloud most recently updated or revised?
The information pertaining to Glenda Butler Mccloud, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.