Individual
CHRISTOPHER GLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3501 S SONCY RD STE 104, AMARILLO, TX 79119-6405
(806) 398-3627
(806) 351-7801
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(806) 398-3627
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
R6195
TX
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
R6195
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000374076
ANTHEM
—
01
—
036096337
ILLINOIS PUBLIC AID
IL
05
—
200531820A
—
IN
05
—
200531820T
—
IN
01
—
2477674
CIGNA
—
01
—
351904269199
CARESOURCE
—
01
—
464996
HEALTHLINK
—
01
—
5518300
AETNA ASSIGNED
—
01
—
N304553
HARMONY HEALTH PLAN IND
—
01
—
P00268084
RAILROAD MCARE PALAMETTO
—
Enumeration date
08/21/2006
Last updated
08/24/2020
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