Individual
DR. JACOB JACKSON GLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST # MSARM200, TEMPLE, TX 76508-5303
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD60854012
WA
2086S0102X
Surgical Critical Care Physician
MD60854012
WA
2086S0102X
Surgical Critical Care Physician
Primary
Q7047
TX
2086S0127X
Trauma Surgery Physician
MD60854012
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2016798
—
WA
Enumeration date
01/26/2006
Last updated
08/08/2025
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