NPI | 1407390180 |
---|---|
Other Name | DARREN GLASS MD SOLE MBR |
Entity Type | Organization |
Authorized Contact | DARREN R GLASS Provider 432-653-0094 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX 392846937) |
Enumeration Date | 2016-12-14 |
Last Update Date | 2016-12-14 |