Wallace A Gleason
M.D. | Pediatric Gastroenterology | Male
Wallace A Gleason, M.D. is a Houston, Texas based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Wallace A Gleason is
6410 Fannin St, 500, Houston, Texas - 77030-3000. He can be contacted on phone at
832-325-7111 and fax number 713-512-2230.
Wallace A Gleason is a sole proprietor of his business.
NPI number (Unique professional ID) for Wallace A Gleason is
1750325536 which was assigned by NPPES on 15 Jun, 2006 and it was last updated on 03 Aug, 2016.
Wallace A Gleason license number is
E9659 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Texas.
Wallace A Gleason specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Wallace A Gleason basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Wallace A Gleason |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Wallace A Gleason address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6410 Fannin St, 500
Houston, TX, 77030-3000
United States |
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| Phone Number : | 832-325-7111 |
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| Fax Number : | 713-512-2230 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1750325536 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Jun, 2006 |
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| Last Updated On : | 03 Aug, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wallace A Gleason are as mentioned. Primary taxonomy code for Wallace A Gleason, M.D. is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | E9659 | TX |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | E9659 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Wallace A Gleason such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 88Y666 | Other | TX | BCBS |
| 137015708 | MEDICAID | TX | |
| 137015705 | Other | TX | CSHCN |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 301173
Dallas, TX, 75303-1173
United States |
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| Phone Number : | 713-500-3500 |
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Business Location:
Patients can refer following map for directions to
Wallace A Gleason practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.