Organization
COMPLEX HEALTHCARE OF FARMINGTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN HERMES (CEO)
(817) 692-6313
Entity
Organization
Contact information
Practice address
555 W PINE ST, FARMINGTON, MO 63640-1439
(573) 223-8600
Mailing address
4201 INTERWAY PL, ARLINGTON, TX 76018-5668
(817) 687-8014
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
08/23/2022
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