Individual
ANDREW MARK GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 288-8000
Mailing address
209 NOLAN RIDGE DR, NOLANVILLE, TX 76559-4639
(775) 219-5861
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
2091
NE
208D00000X
General Practice Physician
2091
NE
Other
Enumeration date
06/06/2018
Last updated
03/06/2025
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