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General NPI Number Information
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NPI Number | 1477426682
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Entity Type | Organization
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Legal Business Name | DONALD GLASS II MD PHD PLLC
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 170 S PRESTON RD STE 10
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City | PROSPER
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State | TX
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Zip | 75078-1724
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Country | US
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Telephone | 972-430-8816
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Fax | 972-430-8818
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Provider Business Mailing Address
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Address Line | 14667 KELMSCOT DR
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City | FRISCO
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State | TX
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Zip | 75035-7291
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Country | US
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Telephone | 281-224-0060
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Fax | 972-430-8818
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Authorized Official
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Title or Position | OWNER
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Name | DONALD GLASS
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Credential | MD, PHD
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Telephone | 281-224-0060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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