Individual
KELLY GLASSCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1955 STERLING CT, ROCKWALL, TX 75032-6254
(269) 254-1174
Mailing address
1955 STERLING CT, ROCKWALL, TX 75032-6254
(269) 254-1174
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
2000501192
TX
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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