# GLEN BELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1336703537
- **Gender:** Man
- **Credential:** CCP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 242T00000X | Perfusionist | FPF00000471 | TX | Yes |

## Other

- **Enumeration date:** 04/24/2019
- **Last updated:** 04/24/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 08501434 | DRIVER LICENSE | TX |