Individual provider · Type 1 NPI
Michael Markus Glass, PA-C
Surgical Physician Assistant · Plano, TX
NPI number
1104163104
Active
Practice location
6020 W Parker Rd, Suite 430
Plano, TX 75093-8171
Fax (214) 501-1334
Mailing address
2525 Ohio Dr Apt 2708
Plano, TX 75093-3012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | PA08205 (TX) |
Surgical Physician Assistant: Definition to come...
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Other surgical physician assistant providers in Plano
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- Heather BlizzardSurgical Physician Assistant Plano, TX NPI 1215393632
About NPI 1104163104
Michael Markus Glass, PA-C's National Provider Identifier is 1104163104, issued on Jan 10, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Plano, TX. The record was last updated on Jun 7, 2013.