Provider Demographics
NPI:1740236140
Name:ARMEN, GLENN CHARLES (MD)
Entity Type:Individual
Prefix:
First Name:GLENN
Middle Name:CHARLES
Last Name:ARMEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6306 RIVER PLACE BLVD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730-1133
Mailing Address - Country:US
Mailing Address - Phone:713-775-4467
Mailing Address - Fax:512-241-1722
Practice Address - Street 1:1701 N HWY 281
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-4311
Practice Address - Country:US
Practice Address - Phone:713-775-4467
Practice Address - Fax:830-798-1122
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2010-06-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG4794207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB20963Medicare UPIN