Stephen B Glenn in Texarkana - Internal Medicine
Stephen B Glenn - NPI 1336149434
Stephen B Glenn is a Internal Medicine in Texarkana, Texas. Stephen B Glenn practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Stephen B Glenn is 1336149434. The last update date is 2010-08-10.
Stephen B Glenn's current location address is 2600 Saint Michael Dr, Texarkana, Texas. You can contact this provider via phone number 9036145111 and fax number 9036145114. The mailing address for Stephen B Glenn is 2600 Saint Michael Dr, Texarkana, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen B Glenn |
|---|---|
| Address | 2600 Saint Michael Dr, Texarkana, Texas |
| Phone Number | 9036145111 |
| Fax Number | 9036145114 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1336149434 |
|---|---|
| Provider Enumeration Date | 2005-07-29 |
| Last Updated Date | 2010-08-10 |
Provider Mailing Address Detail
| Address | 2600 Saint Michael Dr |
|---|---|
| City | Texarkana |
| State | Texas (TX) |
| Post Code | 755035220 |
| Phone Number | 9036145111 |
| Fax Number | 9036145114 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | F5920 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 116232304 | TX | -- | |
| 116232302 | TX | -- | |
| 8AN228 | TX | BCBS OF TEXAS | |
| 114425001 | AR | -- | |
| 100167150A | OK | -- | |
| P00830978 | TX | RR MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Stephen B Glenn?
The Stephen B Glenn has been issued the NPI (National Provider Identifier) 1336149434 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Stephen B Glenn is geographically located?
The Stephen B Glenn is physically situated at the following location: 2600 Saint Michael Dr, Texarkana, TX, 755035220.
What is Stephen B Glenn's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stephen B Glenn is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336149434 to Stephen B Glenn?
The Centers for Medicare & Medicaid Services originally issued the 1336149434 to Stephen B Glenn on 2005-07-29.
As of what date were the details pertaining to Stephen B Glenn last refreshed?
The information related to the Stephen B Glenn, including its address, specialty, and other relevant details, was last updated on 2010-08-10.