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Individual

DR. HELEN C DANIEL-GLAVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
709 HOLLYBROOK DR STE 4500, LONGVIEW, TX 75605-2412
(903) 757-6042
(903) 291-6059
Mailing address
709 HOLLYBROOK DR STE 4500, LONGVIEW, TX 75605-2412
(903) 757-6042

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P0822
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29575
STATE LICENSE
AL
01
P0822
STATE LICENSE
TX
Enumeration date
06/19/2009
Last updated
04/01/2024
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