Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN ROLAND STOCKBRIDGE, DPM
Active Sole ProprietorGLENN ROLAND STOCKBRIDGE, DPM is a Podiatrist healthcare provider located in ODESSA, Texas. NPI 1881704252 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · ODESSA, TX
Registration Details
- NPI Number
- 1881704252
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.931758332582 yrs)
- Last Updated
- Apr 14, 2008
- License
-
TX1201 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3912 TANGLEWOOD LANEODESSA, TX, 797627165Browse TX providers · Browse ZIP 79762
- Phone
- 4323679944
- Fax
- 4323687600
- Primary Specialty
-
Podiatrist
213E00000X
Other Podiatrist Providers in ODESSA, TX
| Name | Credential | NPI |
|---|---|---|
| DR. TARA YVETTE DEAVER | DPM | 1548207731 |
| SADAF ASSANI | DPM | 1902212509 |
| MONICA CERVANTES | DPM | 1336879881 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.