Individual
GLEN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 TENNIS VILLAGE DR, HEATH, TX 75032-5995
(972) 679-9003
Mailing address
31 TENNIS VILLAGE DR, HEATH, TX 75032-5995
(972) 679-9003
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
10403
AL
1835G0303X
Geriatric Pharmacist
Primary
28458
TX
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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