Individual
KEITH GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.133298
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35.133298
OH
207RI0200X
Infectious Disease Physician
Primary
35.133298
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0289714
—
OH
Enumeration date
01/26/2015
Last updated
03/11/2025
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