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General NPI Number Information
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NPI Number | 1427983618
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Entity Type | Organization
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Legal Business Name | GLENISTER MEDICAL CONSULTING, PLLC
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Dates
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Enumeration Date | 06/17/2026
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Last Update Date | 06/17/2026
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Provider Practice Location Address
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Address Line | 910 MIDWESTERN PKWY
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City | WICHITA FALLS
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State | TX
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Zip | 76302-2210
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Country | US
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Telephone | 940-767-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 4521 SHADY LN
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City | WICHITA FALLS
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State | TX
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Zip | 76309-1311
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Country | US
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Telephone | 254-760-1918
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ROLAND TSUNEO GLENISTER
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Credential | DO
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Telephone | 254-760-1918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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