Organization
MARTIN S GLORE MD PA
Active
Other names
The Pain Care Institute PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN S GLORE MD (MEDICAL DIRECTOR)
(956) 682-8588
Entity
Organization
Contact information
Practice address
2719 W TRENTON RD, EDINBURG, TX 78539-3433
(956) 682-8588
(956) 682-8233
Mailing address
PO BOX 5669, MCALLEN, TX 78502-5669
(956) 682-8588
(956) 682-8233
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J9054
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079601301
—
TX
05
—
117159702
—
TX
05
—
1831197185
—
TX
01
—
8A1370
BCBS
TX
Enumeration date
03/01/2007
Last updated
11/05/2008
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