MEDICARE: MS. GLENNA HALL STEINKE DO

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	207R00000X	Internal Medicine Physician	T4469	TX

General Provider Information

NPI Number	:	1538157821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GLENNA HALL STEINKE DO

Provider Business Mailing Address
First Line	:	6101 BLUE LAGOON DR STE 400
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-2051
Country	:	US
Telephone Number	:	917-232-5674
Fax Number	:

Provider Business Practice Location Address
First Line	:	1860 S SEGUIN AVE BLDG E
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-3914
Country	:	US
Telephone Number	:	830-626-7770
Fax Number	:	855-347-6311

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

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	01/18/2022

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