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Individual

JESSICA MICHELLE GLASER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
901 W BEN WHITE BLVD, AUSTIN, TX 78704-6903
(979) 324-5029
Mailing address
5823 BURLINGHALL DR, HOUSTON, TX 77035-2415
(832) 450-7927

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1203131
TX
Enumeration date
02/06/2023
Last updated
02/06/2023
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