Provider Demographics
NPI:1669467395
Name:GLOMBICKI, ALAN PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:PAUL
Last Name:GLOMBICKI
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 1:837 CYPRESS CREEK PKWY STE 105
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-3422
Mailing Address - Country:US
Mailing Address - Phone:281-586-3888
Mailing Address - Fax:832-626-0708
Practice Address - Street 1:837 CYPRESS CREEK PKWY STE 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3422
Practice Address - Country:US
Practice Address - Phone:281-586-3888
Practice Address - Fax:832-626-0708
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1407174400000X, 207RB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX132399005Medicaid
TX132399005Medicaid
TX88G779Medicare ID - Type Unspecified