Individual
MRS. HALEY FITZGERALD GLASGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2405 S CLEAR CREEK RD STE 102, KILLEEN, TX 76549-5775
(254) 618-1777
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08697
TX
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/19/2013
Last updated
01/08/2014
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