Provider Demographics
NPI:1730118332
Name:GLASS, CLAUDIA H (FNP)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:H
Last Name:GLASS
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:TEXAS CENTER FOR MEDICAL AND SURGICAL WEIGHT LOSS
Mailing Address - Street 2:8811 VILLAGE DR., SUITE 300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-5415
Mailing Address - Country:US
Mailing Address - Phone:210-651-0303
Mailing Address - Fax:210-651-0302
Practice Address - Street 1:8811 VILLAGE DR
Practice Address - Street 2:SUITE 300
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-5415
Practice Address - Country:US
Practice Address - Phone:210-651-3033
Practice Address - Fax:210-651-0302
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX549256363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1730118332OtherNPI
TX181278601Medicaid
TX181278602OtherCIDC
TXP35673Medicare UPIN
TX181278601Medicaid