# HNI MEDICAL SERVICES AT GLENWOOD, LLC

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

## Provider details

- **NPI number:** 1669962064
- **Authorized official:** MICHAEL GONZALES (CEO)
- **Authorized official phone:** (512) 730-3056

## Contact information

- **Practice address:** 1616 WELLERMAN RD, WEST MONROE, LA 71291-7427
- **Practice address phone:** (512) 730-3056
- **Practice address fax:** (888) 730-1925
- **Mailing address:** 7500 RIALTO BLVD STE 1-140, AUSTIN, TX 78735-8534
- **Mailing address phone:** (512) 730-3056
- **Mailing address fax:** (888) 730-1925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/11/2018
- **Last updated:** 01/15/2026
