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Organization
GLEN ROSE HEALTHCARE, INC
Active
Organization
GLEN ROSE HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY REYNOLDS (CEO)
(254) 897-2215
Entity
Organization
Contact information
Practice address
409 GLENWOOD ST, 500, GLEN ROSE, TX 76043-4933
(254) 897-2202
(254) 897-1638
Mailing address
409 GLENWOOD ST, 500, GLEN ROSE, TX 76043-4933
(254) 897-2202
(254) 897-1638
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191011901
—
TX
Enumeration date
01/31/2007
Last updated
03/20/2017
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