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Individual

DR. MATTHEW RICK GLASS

Active
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Individual

DR. MATTHEW RICK GLASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
P7769
TX
207R00000X
Internal Medicine Physician
BP10026399
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3864783089
MYUTMB 3864783089-COMMERCIAL NUMBER
Enumeration date
06/14/2007
Last updated
06/11/2018
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