Provider Demographics
NPI:1679785448
Name:GLAUSER, CRAIG RUSSELL (MD)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:RUSSELL
Last Name:GLAUSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 NAVARRO ST STE 1401
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205-2534
Mailing Address - Country:US
Mailing Address - Phone:210-579-3468
Mailing Address - Fax:210-587-8145
Practice Address - Street 1:414 NAVARRO ST STE 1616
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205-2544
Practice Address - Country:US
Practice Address - Phone:210-224-2655
Practice Address - Fax:866-644-0889
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8677207X00000X, 207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX197321603Medicaid
TX378804ZKZVMedicare PIN
TX6484850005OtherMEDICARE NSC EFFECT 02/01/2011
TX8CR145OtherBCBS TX 02/01/2011
TX197321601Medicaid
TX8L1874Medicare PIN
TX1679785448OtherNPI
TXP00684442OtherRAILROAD MEDICARE
TXP00913297OtherRAILROAD MEDICARE EFFECT 02/01/2011
TX5840300001Medicare NSC