Individual
DR. GARY GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4601 SPICEWOOD SPRINGS RD, BUILDING 4, SUITE 200, AUSTIN, TX 78759-8598
(512) 467-1376
(512) 467-8658
Mailing address
4601 SPICEWOOD SPRINGS RD, BUILDING 4 SUITE 200, AUSTIN, TX 78759-8598
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
F5919
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035680001
—
TX
Enumeration date
07/21/2006
Last updated
01/13/2016
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