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GLOW LAND COMPANY, LLC
NPI 1952000226
Nurse Practitioner - Family in Dallas, TX

Active since February 27, 2023CLIA 45D2283695 · Waiver
1618 S BUCKNER BLVD, DALLAS, TX 75217(469) 248-0090(214) 930-1084 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glow Land Company, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLOW LAND COMPANY, LLC (NPI 1952000226) is a healthcare organization registered as a family in Dallas, Texas and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through June 11, 2027 and lists Yunier Mendez Pupo, Administrator, as its authorized official.

NPPES Registry Identity

NPI1952000226
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGLOW LAND COMPANY, LLC
Location Address1618 S BUCKNER BLVDDallas, TX 75217-1707
Mailing Address1618 S Buckner BlvdDallas, TX 75217-1707 · (469) 248-0090 · Fax (214) 930-1084
Phone(469) 248-0090
Fax(214) 930-1084
Organization SubpartNo
Authorized OfficialYunier Mendez PupoAdministrator · (469) 248-0090
Enumeration DateFebruary 27, 2023
NPPES CertifiedFebruary 26, 2023
✔ NPI 1952000226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1618 S BUCKNER BLVD, Dallas, TX 75217
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2283695

Glow Land Company LLC · Dallas, TX
Active · expires Jun 11, 2027
CLIA Number45D2283695
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorMartha Sarmiento
Laboratory Phone(469) 248-0090
Laboratory LocationGlow Land Company LLC1618 S Buckner Blvd, Dallas, TX 75217
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glow Land Company, LLC's NPI number?

The NPI number for Glow Land Company, LLC is 1952000226. It was assigned to this organization in the NPPES registry on February 27, 2023.

Where is Glow Land Company, LLC located?

Glow Land Company, LLC is located at 1618 S Buckner Blvd, Dallas, TX 75217. The listed phone number is (469) 248-0090.

What is Glow Land Company, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Glow Land Company, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2283695) is associated with this NPI, valid through June 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Glow Land Company, LLC accept?

Health plans from Molina Healthcare list Glow Land Company, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glow Land Company, LLC was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.