| Glen Rose Healthcare, Inc | |
|
409 Glenwood St 500 Glen Rose TX 76043-4933 | |
| (254) 897-2202 | |
| (254) 897-1638 |
| Full Name | Glen Rose Healthcare, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 409 Glenwood St, Glen Rose, Texas |
| Authorized Official Name and Position | Ray Reynolds (CEO) |
| Authorized Official Contact | 2548972215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Rose Healthcare, Inc 409 Glenwood St 500 Glen Rose TX 76043-4933 Ph: (254) 897-2202 | Glen Rose Healthcare, Inc 409 Glenwood St 500 Glen Rose TX 76043-4933 Ph: (254) 897-2202 |
| NPI Number | 1568509586 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 03/20/2017 |
| Medicare PECOS PAC ID | 6709986656 |
|---|---|
| Medicare Enrollment ID | O20070709000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568509586 | NPI | - | NPPES |
| 191011901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bruce David Carpenter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346298031 PECOS PAC ID: 7911800644 Enrollment ID: I20040130000040 |
| Provider Name | Michael L Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902855265 PECOS PAC ID: 1456263466 Enrollment ID: I20040130000101 |
| Provider Name | Charles S Erck |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811992407 PECOS PAC ID: 3274528161 Enrollment ID: I20040701000572 |
| Provider Name | Paul Allen Borgfeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104820976 PECOS PAC ID: 3870564917 Enrollment ID: I20040803001030 |
| Provider Name | William C Moore |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1891736138 PECOS PAC ID: 7012914377 Enrollment ID: I20061030000115 |
| Provider Name | Julia M Hutchinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811010085 PECOS PAC ID: 7618868696 Enrollment ID: I20080107000091 |
| Provider Name | Karen Burroughs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265437214 PECOS PAC ID: 8426043316 Enrollment ID: I20080821000655 |
| Provider Name | Steven J Vacek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164473666 PECOS PAC ID: 7517067275 Enrollment ID: I20150427000632 |
| Provider Name | Megan Elizabeth Meer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962944876 PECOS PAC ID: 8123309556 Enrollment ID: I20161227000292 |
| Provider Name | Josie L Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225264997 PECOS PAC ID: 3971755885 Enrollment ID: I20180803000659 |
| Provider Name | Glenda Ann Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609474592 PECOS PAC ID: 5799154142 Enrollment ID: I20221207002021 |
| Provider Name | Zain Hyder |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306343892 PECOS PAC ID: 1052668217 Enrollment ID: I20230706003471 |
Michael L. Davis, M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Glenwood St Ste 500, Glen Rose, TX 76043 Phone: 254-897-3369 | |
Glen Rose Medical Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 N E Big Bend Trail, Glen Rose, TX 76043 Phone: 254-897-3310 Fax: 254-898-0495 | |
Best Value Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Bluebonnet, Glen Rose, TX 76043 Phone: 254-897-9917 Fax: 254-897-9919 | |
Schmidt Medical Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 N E Big Bend Trl, Glen Rose, TX 76043 Phone: 254-897-3444 Fax: 254-897-9973 | |
Burroughs Medical Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 Ne Big Bend Trl, Glen Rose, TX 76043 Phone: 254-897-3310 Fax: 254-897-9973 | |
Bruce Carpenter Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Glenwood St, Suite 500, Glen Rose, TX 76043 Phone: 254-897-2202 Fax: 254-897-2102 |