Provider Demographics
NPI:1528305679
Name:SCHARON, GLENNA MCKAY (MS, APRN)
Entity type:Individual
Prefix:
First Name:GLENNA
Middle Name:MCKAY
Last Name:SCHARON
Suffix:
Gender:F
Credentials:MS, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 SMITH ST
Mailing Address - Street 2:MEDICAL DEPARTMENT
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-7327
Mailing Address - Country:US
Mailing Address - Phone:713-372-5901
Mailing Address - Fax:
Practice Address - Street 1:1400 SMITH ST
Practice Address - Street 2:MEDICAL DEPARTMENT
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-7327
Practice Address - Country:US
Practice Address - Phone:713-372-5901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX447146363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health