Mark William Glass

Surgical Physician Assistant · Addison, TX

Individual Active NPI

NPI number 1013021161

Practice location

17051 Dallas Pkwy Ste 400
Addison, TX 75001-7108
Phone
(214) 370-3535
Fax
(214) 370-0004

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NPI record

NPI
1013021161
Entity type
Individual (Type 1)
Enumeration date
August 18, 2006
Last updated
March 17, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgical Physician Assistant Primary 363AS0400X PA02857 TX

Mailing address

5927 E University Blvd Apt 221
Dallas, TX 75206-9114
Phone
(214) 926-7117

Other practice locations (1)

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

About Mark Glass

Mark William Glass is a healthcare provider registered in the NPI registry with the primary taxonomy Surgical Physician Assistant (code 363AS0400X). The practice location is 17051 Dallas Pkwy Ste 400, Addison, TX 75001-7108. The NPI number 1013021161 was assigned on August 18, 2006 and the record was last updated on March 17, 2018.

Mark Glass lists a license in the registry: #PA02857 (TX) for Surgical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark William Glass?

The NPI number is 1013021161.

What is the phone number of Mark Glass?

The phone number listed for the practice location is (214) 370-3535.

Where is Mark Glass located?

17051 Dallas Pkwy Ste 400, Addison, TX 75001-7108.

What is the taxonomy code for Mark Glass?

The primary taxonomy code is 363AS0400X – Surgical Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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