Glaze, Nicholas Ryan

Glaze, Nicholas Ryan is an individual health care provider with primary practice located at 345 N Highway 67 , Cedar Hill TX 75104-2134. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Glaze, Nicholas Ryan can be contacted via phone (972) 956-5300.

Contact Information

Primary practice address
345 N Highway 67 Cedar Hill TX 75104-2134
Phone: (972) 956-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 784995 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP124430 Texas

Profile Details

NPI number 1255767513
LBN Legal business name Glaze, Nicholas Ryan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2013
Last updated Sep 26th, 2014 - about 12 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 1255767513 NPPES
Texas Other AP124430 TEXAS BNE
Texas Other 784995 TEXAS BNE

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