Individual
DAVID WREN GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 W FRANK AVE, SUITE 100, LUFKIN, TX 75904-3303
(936) 639-2244
(936) 634-9334
Mailing address
1111 W FRANK AVE, SUITE 100, LUFKIN, TX 75904-3303
(936) 639-2244
(936) 634-9334
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H0057
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AJ182
BLUE CROSS
TX
Enumeration date
10/26/2006
Last updated
03/06/2008
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