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Individual
STEPHEN B GLENN
Active
Individual
STEPHEN B GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F5920
TX
207R00000X
Internal Medicine Physician
R3803
AR
208M00000X
Hospitalist Physician
F5920
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100167150A
—
OK
05
—
114425001
—
AR
05
—
116232302
—
TX
05
—
116232304
—
TX
01
—
8AN228
BCBS OF TEXAS
TX
01
—
P00830978
RR MEDICARE
TX
Enumeration date
07/29/2005
Last updated
04/23/2024
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