Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | Q2445 | TX |
N | 207XS0117X | Orthopaedic Spine Surgeon | Q2445 | TX |
NPI | 1013235423 |
---|---|
Provider Name | Dr. Michael Glover |
First Address | Houston, TX 77030-1521 |
Second Address | Houston, TX 77030-1521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2010 |
Last Update Date | 11/04/2016 |