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NPI 1093134595

NPI 1093134595 : KEVIN E. GLINTON M.D. : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1093134595
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    Entity Type          |    Individual 
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    Provider Name        |    KEVIN E. GLINTON M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/11/2014
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    Last Update Date     |    12/13/2023
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Provider Practice Location Address
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    Address Line         |    6701 FANNIN ST STE 1560 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77030-2614
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    Country              |    US
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    Telephone            |    832-822-4280
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    Fax                  |    832-825-4294
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Provider Business Mailing Address
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    Address Line         |    6701 FANNIN ST STE 1560 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77030-2614
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    Country              |    US
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    Telephone            |    832-822-4280
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    Fax                  |    832-825-4294
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    170100000X
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    Taxonomy Name        |    Ph.D. Medical Genetics
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    License Number       |    S5905
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    S5905
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    207SG0201X
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    Taxonomy Name        |    Clinical Genetics (M.D.) Physician
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    License Number       |    S5905
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    License Number State |    TX
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