Individual
JONATHAN MICHAEL GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
15140 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1212
(210) 571-7575
Mailing address
15140 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1212
(210) 571-7575
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P6620
TX
Other
Enumeration date
04/16/2008
Last updated
10/31/2022
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