Wesley S. Glazener, MD, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

H7305 Issued in TX

Legal business name

WESLEY S. GLAZENER, MD, PA

Practice address

1305 W 34TH St
#206
Austin, TX 78705-1923

Phone

(512) 454-8691

Fax

(512) 454-4238

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Wesley Stanton Glazener, MDNPI 1104880301

Title

Owner

Phone

(512) 454-8691

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wesley Stanton Glazener, M.D.

  • Pediatrics Physician
  • Austin, TX
  • NPI 1104880301
  NPD (past) Authorized official

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508083130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 W 34TH ST",
            "address_2": "#206",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051923",
            "telephone_number": "512-454-8691",
            "fax_number": "512-454-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W 34TH ST",
            "address_2": "#206",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051923",
            "telephone_number": "512-454-8691",
            "fax_number": "512-454-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY S. GLAZENER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLAZENER",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "STANTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-454-8691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H7305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE  LICENSE",
            "identifier": "H7305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Stephen Wern, PHARM.D
• Darcy Werner, NP
• Josie Lane Werner
• Gary L Werntz, M.D.
• Aubrey Werzner, MA, MSN, LPC, APRN
• Abigail Marie Wesolowski, CAA
• Jane Alexandra Wessel, CRNA
• Amy Wessels
• Sheila R. Wessels, MED, LPC, RPT
• Rhonda Gayle Wesson, PTA

• Pediatrics Physician in Austin, TX
• Providers in Austin, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.