Individual
GLENTY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6400 FANNIN ST, SUITE 1400, HOUSTON, TX 77030-1521
(713) 704-4718
(713) 704-6850
Mailing address
6431 FANNIN ST, MSB 4.234, HOUSTON, TX 77030-1501
(713) 704-4718
(713) 704-6850
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
564235-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
AP126978
TX
363LA2200X
Adult Health Nurse Practitioner
F307023-1
NY
Other
Enumeration date
05/14/2014
Last updated
06/22/2015
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