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

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XPA08205 (TX)

Surgical Physician Assistant: Definition to come...

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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.