Individual
MICHAEL MARKUS GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6020 W PARKER RD, SUITE 430, PLANO, TX 75093-8171
(214) 316-6962
(214) 501-1334
Mailing address
2525 OHIO DR APT 2708, PLANO, TX 75093-3012
(214) 316-6962
(214) 501-1334
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA08205
TX
Other
Enumeration date
01/10/2013
Last updated
06/07/2013
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