Individual
GLEN RAY GOLDSMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
127 MEDICAL DR, PALESTINE, TX 75801-4781
(903) 729-5067
(903) 729-2841
Mailing address
127 MEDICAL DR, PALESTINE, TX 75801-4781
(903) 729-5067
(903) 729-2841
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F4004
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FR420
—
TX
Enumeration date
07/08/2005
Last updated
07/08/2007
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