Minor, Gladys Irene
Minor, Gladys Irene is an individual health care provider with primary practice located at 835 River Walk Trl , Georgetown TX 78633-5377. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Minor, Gladys Irene can be contacted via phone (512) 943-0914.Contact Information
Primary practice address
835 River Walk Trl
Georgetown TX 78633-5377
Phone: (512) 943-0914
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 01055972 | Indiana |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | R4433 | Texas |
Profile Details
| NPI number | 1962494914 |
|---|---|
| LBN Legal business name | Minor, Gladys Irene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Mar 17th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962494914 | NPPES |
| Indiana | Other | P01155989 | RAILROAD MEDICARE PIN |
| Indiana | MEDICAID | 200374430 | RAILROAD MEDICARE PIN |
| Indiana | Other | P00103259 | RAILROAD MEDICARE PIN |
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