Individual
JAMES GLASS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
271 FORT RICHARDSON AVE, GOODFELLOW AFB, TX 76908
(325) 654-4390
Mailing address
271 FORT RICHARDSON AVENUE, SAN ANGELO, TX 76908
(325) 654-5765
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2022
Last updated
07/06/2023
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