National Provider Identifier Database

SHANNON B GLASS, MD – NPI #1982923975
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

SHANNON B GLASS, MD
11937 US HIGHWAY 271
TYLER, TX75708
Phone: 903-877-7777
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for SHANNON B GLASS

NPI Number 1982923975
Credentials MD
Entity Individual
Enumeration date 05/31/2010
Last updated 08/28/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • TX License #: Q1611
  • TX Medicaid: 348611003
  • TX Medicaid: 348611004
  • TX Other: 8JP975 BCBS
  • TX Other: 8JW906 BCBS
  • TX Other: 667447 MEDICARE
  • TX Other: 667934 MEDICARE
  • TX Other: P02057868 MEDICARE RAIL ROAD
  • TX Other: P02057870 MEDICARE RAIL ROAD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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