Graves, Glen S
Graves, Glen S is an individual health care provider with primary practice located at 5777 New Copeland Rd Suite 100, Tyler TX 75703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Graves, Glen S can be contacted via phone (903) 561-9255.Contact Information
Primary practice address
5777 New Copeland Rd Suite 100
Tyler TX 75703
Phone: (903) 561-9255
Fax: (903) 561-0034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | J2036 | Texas |
Profile Details
| NPI number | 1689648040 |
|---|---|
| LBN Legal business name | Graves, Glen S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Jun 1st, 2021 - about 5 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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