Garner, Glen

Garner, Glen is an individual health care provider with primary practice located at 11914 Astoria Blvd Ste 575 , Houston TX 77089-6080. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Garner, Glen can be contacted via phone (281) 929-4420.

Contact Information

Primary practice address
11914 Astoria Blvd Ste 575 Houston TX 77089-6080
Phone: (281) 929-4420
Fax: (281) 929-4421
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X K4689 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X K4689 Texas

Profile Details

NPI number 1558364588
LBN Legal business name Garner, Glen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Sep 12th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558364588 NPPES
Texas MEDICAID 152279901

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