P Praxis·MD
● Active Type 1 · Individual

Shannon B. Glass, MD

Radiology·Tyler, TX· NPI 1982923975 · Enumerated 2010 · 15 years on NPI
Glass is 1 of 52 radiology providers in Tyler and 1 of 3776 in Texas.
NPI age
15 years
Enumerated 2010-05-31
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-08-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3776 active radiology providers in Texas.

NPI age
15 years
↓ 4 yr below median (19 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
1
In the 36% of peers with subspecialties

NPI lifetime · 2010 → 2026

2010-05Enumerated in NPPES
2010 2026

Where they practice

Practice location
11937 Us Highway 271
Tyler, TX 75708
📞 9038777777
Mailing address
Po Box 846098
Dallas, TX 752841656
📞 9035315000

Additional practice locations

6 secondary locations on file with NPPES.

Location 2
11937 Us Highway 271
Tyler, TX 757083154
📞 9038777777
Location 3
700 E Marshall Ave
Longview, TX 756015580
📞 9033152000
Location 4
910 E Houston St Ste 650
Tyler, TX 757028370
📞 9036065300
Location 5
800 E Dawson St
Tyler, TX 757012036
📞 9036065000
Location 6
719 W Coke Rd Ste 3
Winnsboro, TX 754943060
📞 9033425227
Location 7
115 Airport Rd
Sulphur Springs, TX 754822105
📞 9038857671

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    TX license #Q1611 taxonomy 2085R0202X
  • Student in an Organized Health Care Education/Training Program
    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.
    taxonomy 390200000X

Identifiers

TypeValueNotes
01 (TX) P02057868 MEDICARE RAIL ROAD
01 (TX) 8JW906 BCBS
01 (TX) P02057870 MEDICARE RAIL ROAD
05 (TX) 348611003
05 (TX) 348611004
01 (TX) 667447 MEDICARE
01 (TX) 667934 MEDICARE
01 (TX) 8JP975 BCBS

Practice context

Part of a multi-provider practice. 478 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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