MEDICARE: DR. GLENN B. KLINE 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	207K00000X	Allergy & Immunology Physician	H4978	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	030004679	OTHER	TX	R.R. MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4072316	OTHER	TX	AETNA PPO
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2799601004	OTHER	TX	CIGNA
4	0738074	OTHER	TX	AETNA HMO
6	2317954	OTHER	TX	BLUE LINK

General Provider Information

NPI Number	:	1689677510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GLENN B. KLINE MD

Provider Business Mailing Address
First Line	:	902 FROSTWOOD DR STE 302
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2428
Country	:	US
Telephone Number	:	713-596-8526
Fax Number	:	713-596-8560

Provider Business Practice Location Address
First Line	:	902 FROSTWOOD DR STE 302
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2428
Country	:	US
Telephone Number	:	713-973-0051
Fax Number	:	713-973-7130

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	02/25/2025

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Directions to “ DR. GLENN B. KLINE MD” Practice Location

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