Hack, Glendon Saldivar

Hack, Glendon Saldivar is an sole proprietor health care provider with primary practice located at 19432 Davis St , Lytle TX 78052. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hack, Glendon Saldivar can be contacted via phone (830) 709-9960.

Contact Information

Primary practice address
19432 Davis St Lytle TX 78052
Phone: (830) 709-9960
Fax: (830) 709-9962
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K7753 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X K7753 Texas

Profile Details

NPI number 1629073648
LBN Legal business name Hack, Glendon Saldivar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Jan 23rd, 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 1629073648 NPPES
Texas Other 8U6150 BCBS INDIVIDUAL
Texas MEDICAID 135816011 BCBS INDIVIDUAL

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