Individual
DR. DANIEL ADAM GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1136 E GRANDE BLVD, TYLER, TX 75703-3982
(903) 592-5601
(903) 595-3304
Mailing address
1136 E GRANDE BLVD, TYLER, TX 75703-3982
(903) 592-5601
(903) 595-3304
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
P3333
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305150001
—
TX
01
—
8DG792
BCBS
TX
Enumeration date
01/02/2008
Last updated
12/09/2016
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