MEDICARE: JEFFREY GLASS MD PLLC

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	208600000X	Surgery Physician

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	:	1770204067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFREY GLASS MD PLLC

Provider Business Mailing Address
First Line	:	742 HIDDEN VIEW ST
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-7433
Country	:	US
Telephone Number	:	210-381-2821
Fax Number	:	830-643-0737

Provider Business Practice Location Address
First Line	:	876 TX-337 LOOP, SUITE 101
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-3553
Country	:	US
Telephone Number	:	830-624-7993
Fax Number	:	830-643-0737

Authorized Official
Title or Position	:	SURGEON
Name	:	DR. JEFFREY LEWIS GLASS
Credential	:	MD
Telephone Number	:	210-381-2821

Provider Enumeration Date	:	09/06/2022
Last Update Date	:	10/20/2025

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Directions to “JEFFREY GLASS MD PLLC ” Practice Location

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