Individual
MARTIN S GLORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2719 W TRENTON RD, EDINBURG, TX 78539-3433
(956) 682-8588
(956) 682-8233
Mailing address
PO BOX 5669, MCALLEN, TX 78502-5669
(956) 682-8588
(956) 682-8233
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J9054
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0089CH
BCBS PROVIDER NUMBER
TX
Enumeration date
07/11/2005
Last updated
07/09/2007
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