Provider Demographics
NPI:1699938563
Name:GLAICH, ADRIENNE SHOSS (MD)
Entity type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:SHOSS
Last Name:GLAICH
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:7515 MAIN ST
Mailing Address - Street 2:SUITE 240
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4519
Mailing Address - Country:US
Mailing Address - Phone:713-791-9966
Mailing Address - Fax:
Practice Address - Street 1:7500 BEECHNUT ST
Practice Address - Street 2:STE 290
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-4335
Practice Address - Country:US
Practice Address - Phone:713-988-8442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXMOO90207NI0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NI0002XAllopathic & Osteopathic PhysiciansDermatologyClinical & Laboratory Dermatological Immunology