Individual
DR. BRIAN GLODT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2312 WESTERN TRAILS BLVD STE 103, AUSTIN, TX 78745-1642
(512) 840-1273
Mailing address
111 STATE PARK DR, HAMPTON, VA 23664-1965
(301) 257-0665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
U1018
TX
208D00000X
General Practice Physician
Primary
U1018
TX
Other
Enumeration date
04/08/2007
Last updated
09/29/2023
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