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

Mr. Mark William Glass

Individual provider Surgical Physician Assistant · NPI 1013021161

Mr. Mark William Glass is a Physician Assistant in Addison, Texas. Qualified in 2000, 26 years ago. Practices with Ortholonestar PLLC, a 415-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
26
Licensed in
TX
In the registry since
2006

Practice location Address checks out

17051 Dallas Pkwy Ste 400
Addison, TX 75001-7108
Phone: (214) 370-3535
Fax: (214) 370-0004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9301 N Central Expy Ste 500, Dallas, TX 75231-0805 — (214) 220-2468

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA02857 (TX)

Record details

NPI number1013021161
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESMarch 17, 2018
Mailing address5927 E University Blvd Apt 221, Dallas, TX 75206-9114

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Ortholonestar Pllc — 415 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Addison