MEDICARE: DR. GARY GLASS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	F5919	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306867924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY GLASS MD

Provider Business Mailing Address
First Line	:	4601 SPICEWOOD SPRINGS RD
Second Line	:	BUILDING 4 SUITE 200
City	:	AUSTIN
State	:	TX
Zip	:	78759-8598
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4601 SPICEWOOD SPRINGS RD
Second Line	:	BUILDING 4, SUITE 200
City	:	AUSTIN
State	:	TX
Zip	:	78759-8598
Country	:	US
Telephone Number	:	512-467-1376
Fax Number	:	512-467-8658

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	01/13/2016

Similar Medicare Providers

1699607754 — LILA ELLIS
Practice Location Address:

4601 SPICEWOOD SPRINGS RD STE 100
AUSTIN, TX
78759-8598

Practice Phone: 737-252-3990
Practice Fax:

1104759372 — SYDNEY EVELYN PRICE MS, LCDC
Practice Location Address:

4601 SPICEWOOD SPRINGS RD
AUSTIN, TX
78759-8598

Practice Phone: 512-848-1349
Practice Fax:

1619048212 — MS. MARY M HOLMAN LPC
Practice Location Address:

4601 SPICEWOOD SPRINGS RD , BLDG 4, SUITE 200
AUSTIN, TX
78759-8598

Practice Phone: 512-231-0164
Practice Fax: 512-276-8958

1467599514 — DR. DONALD ALFRED JOHNSON PH.D.
Practice Location Address:

4601 SPICEWOOD SPRINGS RD , BLDG. 4, STE. 200
AUSTIN, TX
78759-8598

Practice Phone: 512-467-1376
Practice Fax: 512-467-8658

1235273863 — DR. KELLEY A FARMER M.D.
Practice Location Address:

4601 SPICEWOOD SPRINGS RD , BLDG. 4 STE. 200
AUSTIN, TX
78759-8598

Practice Phone: 512-467-1376
Practice Fax:

1265568331 — HACKWORTH & LOPEZ ENTERPRISES PLLC
Practice Location Address:

4601 SPICEWOOD SPRINGS RD , #4-200
AUSTIN, TX
78759-8598

Practice Phone: 512-467-1376
Practice Fax:

Directions to “ DR. GARY GLASS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.