Provider Demographics
NPI:1275530974
Name:GLUSMAN, STEVEN PHILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:PHILIP
Last Name:GLUSMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3800 N MESA ST
Mailing Address - Street 2:SUITE A-2, # 102
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-1538
Mailing Address - Country:US
Mailing Address - Phone:915-592-7500
Mailing Address - Fax:
Practice Address - Street 1:5001 N PIEDRAS ST
Practice Address - Street 2:EL PASO VA HCS, 4TH FLOOR NEUROLOGY CLINIC
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79930-4210
Practice Address - Country:US
Practice Address - Phone:915-564-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL22802084N0400X
NY215469-12084N0400X
ORMD160942084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147393602Medicaid
F53026Medicare UPIN
TX147393602Medicaid