Individual
DR. D. BRENT GLAMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 UNIVERSITY DR E, COLLEGE STATION, TX 77840-2642
(409) 691-3300
Mailing address
PO BOX 847408, DALLAS, TX 75284-7408
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H0385
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8F2703
BLUE SHIELD
TX
01
—
P00164046
RR/MEDICARE
TX
Enumeration date
03/23/2006
Last updated
07/11/2007
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