Individual
GLENN B. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13300 HARGRAVE RD, SUITE 390, HOUSTON, TX 77070-4373
(281) 737-2932
Mailing address
6560 FANNIN ST, STE 944, HOUSTON, TX 77030-2761
(713) 441-3800
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
14085R
LA
207T00000X
Neurological Surgery Physician
Primary
N2379
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1100323
—
LA
Enumeration date
10/18/2005
Last updated
12/03/2014
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