Individual
MICHAEL WILLIAM GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(832) 824-1000
Mailing address
1102 BATES AVE STE 1570.10, HOUSTON, TX 77030-2617
(832) 824-1000
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
MD.31098
AL
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
Q0445
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130675
—
AL
Enumeration date
05/28/2008
Last updated
06/08/2023
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