# GLENN GENOVESE MD PA

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

## Provider details

- **NPI number:** 1144228636
- **Authorized official:** DR. GLENN GENOVESE MD (MD/OWNER)
- **Authorized official phone:** (940) 484-1500

## Contact information

- **Practice address:** 3120 MEDPARK DR, SUITE 150, CORINTH, TX 76208-6981
- **Practice address phone:** (940) 484-1500
- **Practice address fax:** (940) 484-1700
- **Mailing address:** PO BOX 50268, DENTON, TX 76206-0268
- **Mailing address phone:** (940) 484-1500
- **Mailing address fax:** (940) 484-1700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | H7302 | TX | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | H7302 | TX | Yes |

## Other

- **Enumeration date:** 07/08/2005
- **Last updated:** 02/07/2012
