Dr Glenn Lee Lawrence, MD | |
1700 University Dr E, College Station, TX 77840-2661 | |
(409) 691-3300 | |
Not Available |
Full Name | Dr Glenn Lee Lawrence |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1700 University Dr E, College Station, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073574216 | NPI | - | NPPES |
81X065 | Other | TX | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | J7807 (Texas) | Primary |
Entity Name | Scott & White Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
Mailing Address | Practice Location Address |
---|---|
Dr Glenn Lee Lawrence, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Dr Glenn Lee Lawrence, MD 1700 University Dr E, College Station, TX 77840-2661 Ph: (409) 691-3300 |
Kenneth E Matthews, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1602 Rock Prairie Rd, Suite 340, College Station, TX 77845 Phone: 979-696-4440 Fax: 979-694-8500 | |
Neal Moreau Spears, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4401 Highway 6 S, College Station, TX 77845 Phone: 979-690-4480 Fax: 979-690-4481 | |
Patricia Whitehead Goen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1651 Rock Prairie Rd, #102, College Station, TX 77845 Phone: 979-693-7400 Fax: 979-693-7446 | |
Dr. Veena Anand, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1602 Rock Prairie Rd Ste 300, College Station, TX 77845 Phone: 979-693-7400 | |
Scott T Schams, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1602 Rock Prairie Rd, Suite 340, College Station, TX 77845 Phone: 979-696-4440 Fax: 979-694-8500 | |
Dr. Dayne M. Foster, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1700 University Dr E, College Station, TX 77840 Phone: 409-691-3300 |