Individual
MRS. GLENDA ROSE HAGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1000 LIPSCOMB ST STE 110, FORT WORTH, TX 76104-3181
(817) 348-8600
(817) 348-8602
Mailing address
1000 LIPSCOMB ST STE 110, FORT WORTH, TX 76104-3181
(817) 348-8600
(817) 348-8602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04946
TX
363AM0700X
Medical Physician Assistant
PA04946
TX
Other
Enumeration date
10/05/2006
Last updated
09/02/2025
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