Individual
MR. GEORGE P GLASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
11005 SHADY HOLLOW DR, AUSTIN, TX 78748-1819
(512) 371-9418
(512) 637-8889
Mailing address
11005 SHADY HOLLOW DR, AUSTIN, TX 78748-1819
(512) 371-9418
(512) 637-8889
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00319 LCSW
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063867801
—
TX
01
—
54112070
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
06/01/2005
Last updated
08/24/2024
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