Individual
DR. ANDREW G GLAZE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1026 TITUS ST, GILMER, TX 75644-3514
(803) 843-5643
(903) 843-4403
Mailing address
PO BOX 949, GILMER, TX 75644-0949
(903) 843-5673
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC5316
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8214226
BCBS
TX
Enumeration date
06/23/2005
Last updated
07/08/2007
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