MR. MATTHEW RYAN MCGLENNON NPI 1710409818

NPI Information

  • NPI: 1710409818
  • Provider Name: MR. MATTHEW RYAN MCGLENNON
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 425 UNIVERSITY BLVD STE 345
    ROUND ROCK, TX
    ZIP 78665
  • Phone: (512) 509-0200

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NPI Details

MR. Matthew Ryan Mcglennon is a student in an organized health care education training program in Round Rock, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Matthew Ryan Mcglennon NPI is 1710409818. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

425 UNIVERSITY BLVD STE 345
ROUND ROCK, TX
ZIP 78665-058
Phone: (512) 509-0200

The NPI 1710409818 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/10/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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