Individual
TIA RENEE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., ANP
Contact information
Practice address
18333 EGRET BAY BLVD, HOUSTON, TX 77058-3860
(281) 333-9933
(281) 333-4072
Mailing address
18333 EGRET BAY BLVD, HOUSTON, TX 77058-3860
(281) 333-9933
(281) 333-4072
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
574729
TX
Other
Enumeration date
05/31/2006
Last updated
09/25/2008
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