Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | M7215 | TX |
Y | 207RG0300X | Geriatric Medicine | M7215 | TX |
NPI | 1427003102 |
---|---|
Provider Name | Elizabeth Joy Glazier |
First Address | San Antonio, TX 78229-4019 |
Second Address | San Antonio, TX 78229-4019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 15/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010055539 | (05) | VA |
035460400 | (05) | DC |
403874600 | (05) | MD |
I13309 | (02) | DC |