Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Glenn A McDonald, MD

Individual provider Nephrology Physician · NPI 1336104389

Dr. Glenn A McDonald, MD is a Nephrology in Longview, Texas. Graduated from University of Texas Medical School at Houston in 1990, 36 years ago. Practices with Southern Kidney Associates PLLC, a 6-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Louisiana and Texas.

Years since qualifying
36
Trained at
University of Texas Medical School at Houston
Licensed in
LA, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3535 N Fourth St Ste 301
Longview, TX 75605-0037
Phone: (903) 234-9992
Fax: (903) 234-8287
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1815 E 70th St, Shreveport, LA 71105-5301 — (800) 276-9017

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence J0114 (TX)
Nephrology Physician Taxonomy 207RN0300X · Licence 308302 (LA)

Record details

NPI number1336104389
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2006
Last updated in NPPESOctober 6, 2021
Certification dateOctober 6, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated 1990 (36 years in practice)
Group practice Southern Kidney Associates Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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