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Individual

DR. GLEN GARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11914 ASTORIA BLVD STE 575, HOUSTON, TX 77089-6080
(281) 929-4420
(281) 929-4421
Mailing address
11920 ASTORIA BLVD, SUITE 350, HOUSTON, TX 77089-6097
(281) 929-4420
(281) 929-4421

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
K4689
TX
208600000X
Surgery Physician
Primary
K4689
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
152279901
TX
Enumeration date
05/23/2005
Last updated
09/12/2012
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