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Individual

KATHRYN B GLASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6400 FANNIN ST STE 2015, HOUSTON, TX 77030-1521
(713) 704-0669
(713) 704-0670
Mailing address
909 FROSTWOOD DR, SUITE 1.100, HOUSTON, TX 77024-2301
(713) 338-4523
(713) 338-5500

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101225444
VA
208000000X
Pediatrics Physician
Primary
P1458
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006703712
VA
01
294140
ANTHEM BC
VA
01
3649627
AETNA HMO
VA
01
41232
OPTIMA HEALTH
VA
01
432058755
PHCS
VA
01
4768718/9149430
CIGNA
VA
01
633510
SOUTHERN HEALTH
VA
01
7358237
AETNA PPO
VA
01
8165265
UNITED HEALTHCARE
VA
Enumeration date
02/21/2006
Last updated
01/19/2012
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