Individual
DR. DALE S. GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
H6245
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1392961-03
—
TX
01
—
300124839
RR/MEDICARE
TX
01
—
82948N
BLUE SHIELD
TX
Enumeration date
03/25/2006
Last updated
12/16/2021
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