Provider Demographics
NPI:1770544181
Name:LITMAN, GLENN (PA C)
Entity type:Individual
Prefix:MR
First Name:GLENN
Middle Name:
Last Name:LITMAN
Suffix:
Gender:M
Credentials:PA C
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Mailing Address - Street 1:1914 MAROON CRK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-2416
Mailing Address - Country:US
Mailing Address - Phone:210-445-4624
Mailing Address - Fax:
Practice Address - Street 1:3851 ROGER BROOKE DR
Practice Address - Street 2:BROOKE ARMY MEDICAL CENTER
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4501
Practice Address - Country:US
Practice Address - Phone:210-916-2757
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-28
Last Update Date:2022-05-20
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical