| NPI | 1497263552 |
|---|---|
| Doing Business As | GLOW |
| Entity Type | Organization |
| Authorized Contact | THERESA M CONYAC Owner, Md 972-722-2526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P8875) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2019-08-26 |