Individual
MR. GLENN R VALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSMT, MSM, MBA
Contact information
Practice address
1919 S SHILOH RD, GARLAND, TX 75042-8234
(972) 864-0077
(972) 864-0079
Mailing address
1919 S SHILOH RD, GARLAND, TX 75042-8234
(972) 864-0077
(972) 864-0079
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
TX
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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