Individual provider · Type 1 NPI

Mark William Glass

Surgical Physician Assistant · Addison, TX

NPI number 1013021161 Active

Practice location

17051 Dallas Pkwy Ste 400
Addison, TX 75001-7108

Fax (214) 370-0004

Mailing address

5927 E University Blvd Apt 221
Dallas, TX 75206-9114

Other practice locations

  • 9301 N Central Expy Ste 500, Dallas, TX 75231-0805 · (214) 220-2468

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA02857 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1013021161

Mark William Glass's National Provider Identifier is 1013021161, issued on Aug 18, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Addison, TX. The record was last updated on Mar 17, 2018.