P Mark Glencross MD MPH PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

P MARK GLENCROSS MD MPH PA

Practice address

6550 Fannin St Ste 555
Houston, TX 77030-2717

Phone

(904) 476-1723

NPI assigned

Sep 10, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Philip Mark Glencross, MD MPH

Title

Owner

Phone

(904) 476-1723

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1447651385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5868 WESTHEIMER RD # 312",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575641",
            "telephone_number": "904-476-1723",
            "fax_number": "866-548-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST STE 555",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "904-476-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P MARK GLENCROSS MD MPH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "GLENCROSS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-476-1723",
        "authorized_official_credential": "MD MPH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.