# COMPLEX HEALTHCARE OF DES PERES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104432640
- **Authorized official:** GLENN HERMES (CEO)
- **Authorized official phone:** (817) 692-6313

## Contact information

- **Practice address:** 1032 OLD DES PERES RD, SAINT LOUIS, MO 63131-1865
- **Practice address phone:** (817) 735-1180
- **Mailing address:** 6040 CAMP BOWIE BLVD STE 24, FORT WORTH, TX 76116-5602
- **Mailing address phone:** (817) 735-1180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2020
- **Last updated:** 09/21/2020