Organization
GLENN GENOVESE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN GENOVESE MD (MD/OWNER)
(940) 484-1500
Entity
Organization
Contact information
Practice address
3120 MEDPARK DR, SUITE 150, CORINTH, TX 76208-6981
(940) 484-1500
(940) 484-1700
Mailing address
PO BOX 50268, DENTON, TX 76206-0268
(940) 484-1500
(940) 484-1700
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
H7302
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
H7302
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169371502
—
TX
Enumeration date
07/08/2005
Last updated
02/07/2012
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