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Organization
WESLEY S. GLAZENER, MD, PA
Active
Organization
WESLEY S. GLAZENER, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY STANTON GLAZENER MD (OWNER)
(512) 454-8691
Entity
Organization
Contact information
Practice address
1305 W 34TH ST, #206, AUSTIN, TX 78705-1923
(512) 454-8691
(512) 454-4238
Mailing address
1305 W 34TH ST, #206, AUSTIN, TX 78705-1923
(512) 454-8691
(512) 454-4238
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H7305
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H7305
STATE LICENSE
TX
Enumeration date
04/18/2007
Last updated
08/22/2020
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