Organization
BRION A. GLUCK MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRION A GLUCK MD (OWNER)
(915) 577-9900
Entity
Organization
Contact information
Practice address
1800 N MESA ST STE 200, EL PASO, TX 79902-3554
(915) 577-9900
(915) 577-0200
Mailing address
1800 N MESA ST STE 200, EL PASO, TX 79902-3554
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H9954
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115581402
—
TX
05
—
171734001
—
TX
Enumeration date
08/08/2007
Last updated
01/05/2011
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