Organization
COMPLEX HEALTHCARE OF DES PERES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN HERMES (CEO)
(817) 692-6313
Entity
Organization
Contact information
Practice address
1032 OLD DES PERES RD, SAINT LOUIS, MO 63131-1865
(817) 735-1180
Mailing address
6040 CAMP BOWIE BLVD STE 24, FORT WORTH, TX 76116-5602
(817) 735-1180
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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