MEDICARE: MR. MILES D GLASPY

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	1041C0700X	Clinical Social Worker	11038	TX

General Provider Information

NPI Number	:	1497859508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MILES D GLASPY

Provider Business Mailing Address
First Line	:	1303 WOODHEAD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-4803
Country	:	US
Telephone Number	:	713-529-1913
Fax Number	:

Provider Business Practice Location Address
First Line	:	1303 WOODHEAD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-4803
Country	:	US
Telephone Number	:	713-529-1913
Fax Number	:

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

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	12/11/2015

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