Organization
ANDREW G GLAZE
Active
Other names
Glaze Clinic of Marshall
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW G GLAZE D.C. (OWNER/PROVIDER)
(903) 934-8500
Entity
Organization
Contact information
Practice address
701 N WASHINGTON ST, MARSHALL, TX 75670-2011
(903) 934-8500
(903) 843-4403
Mailing address
701 N WASHINGTON ST, MARSHALL, TX 75670-2011
(903) 934-8500
(903) 843-4403
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC5316
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001484701
—
TX
Enumeration date
05/15/2012
Last updated
05/15/2012
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