Daniel G Glaze, MD | |
6701 Fannin St, Houston, TX 77030-2316 | |
(832) 822-1764 | |
(832) 825-3504 |
Full Name | Daniel G Glaze |
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Gender | Male |
Speciality | Pediatrics |
Location | 6701 Fannin St, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649261884 | NPI | - | NPPES |
138309310 | Medicaid | TX | |
138309302 | Medicaid | TX | |
138309303 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | E2575 (Texas) | Secondary |
208000000X | Pediatrics | E2575 (Texas) | Primary |
Entity Name | Texas Childrens Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209 |
Mailing Address | Practice Location Address |
---|---|
Daniel G Glaze, MD 2 Greenway Plz, Suite 900, Houston, TX 77046-0297 Ph: (713) 798-1750 | Daniel G Glaze, MD 6701 Fannin St, Houston, TX 77030-2316 Ph: (832) 822-1764 |
Sonia Ann Monteiro, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6701 Fannin St, Houston, TX 77030 Phone: 832-824-1000 | |
Meenakshi G Hegde, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6701 Fannin St, Houston, TX 77030 Phone: 832-824-1000 | |
Rebecca Jean Chancey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6621a Fannin St., Houston, TX 77030 Phone: 713-770-5454 | |
Lisa R Lapeze, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18338 Kingsland Blvd, Suite 210, Houston, TX 77094 Phone: 281-599-7334 Fax: 281-599-7040 | |
Elvis Aaron Cavazos, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14730 Barryknoll Ln, Houston, TX 77079 Phone: 281-496-9700 Fax: 281-496-7821 | |
Marlene D. Typaldos Sanchez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6701 Fannin St Ste 1040, Houston, TX 77030 Phone: 832-822-3309 Fax: 832-825-3308 | |
Zachary Foughty, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6621 Fannin St, Houston, TX 77030 Phone: 832-824-1173 |