Individual
GLEN D MCCRELESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4037 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78222-3636
(210) 337-4921
(210) 337-7297
Mailing address
4037 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78222-3636
(210) 337-4921
(210) 337-7297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F9798
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033364301
—
TX
Enumeration date
05/31/2006
Last updated
11/08/2010
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