Organization
SWEETWATER WOMEN'S CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TIMOTHY GLOVER D.O. (OWNER)
(325) 235-1600
Entity
Organization
Contact information
Practice address
301 JENNY GEORGE LN, SWEETWATER, TX 79556-7152
(325) 235-1600
(325) 235-5975
Mailing address
301 JENNY GEORGE LN, SWEETWATER, TX 79556-7152
(325) 235-1600
(325) 235-5975
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097MY
BLUE CROSS BLUE SHIELD
TX
05
—
1749731-01
—
TX
Enumeration date
03/14/2006
Last updated
06/16/2008
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