NPI 1144222100

Glen a Rountree, MD

Practitioner Urology Physician Texarkana, TX

Practice location

Address: 1902 Moores Ln, Texarkana, TX 75503-4610
Phone: (903) 792-7515
Fax: (903) 791-8645
Mailing address: 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence D5189 (TX)

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Registry record

NPI: 1144222100
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jun 2005
Record last updated: 20 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.