Provider Demographics
NPI:1497859508
Name:GLASPY, MILES D
Entity Type:Individual
Prefix:MR
First Name:MILES
Middle Name:D
Last Name:GLASPY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 WOODHEAD ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-4803
Mailing Address - Country:US
Mailing Address - Phone:713-529-1913
Mailing Address - Fax:
Practice Address - Street 1:1303 WOODHEAD ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-4803
Practice Address - Country:US
Practice Address - Phone:713-529-1913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OOS40TMedicare ID - Type Unspecified