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1013021161
MARK WILLIAM GLASS
ADDISON, TX
NPI
1013021161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX PA02857)
Enumeration Date
2006-08-18
Last Update Date
2018-03-17
Business Address
Mr. MARK WILLIAM GLASS
17051 DALLAS PKWY STE 400
ADDISON, TX 75001-7108
Phone number: 214-370-3535
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Mailing Address
Mr. MARK WILLIAM GLASS
5927 E UNIVERSITY BLVD APT 221
DALLAS, TX 75206-9114
Phone number: 214-926-7117
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