Organization · Type 2 NPI

Glen Rose Medical Foundation Inc.

Emergency Medicine Physician · Glen Rose, TX

NPI number 1639292964 Active

Practice location

1021 Holden
Glen Rose, TX 76043-2099

Fax (254) 897-1446

Mailing address

PO Box 2099
Glen Rose, TX 76043-2099

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000X000059 (TX)
Rural Acute Care Hospital 282NR1301X000059 (TX)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1639292964

Glen Rose Medical Foundation Inc.'s National Provider Identifier is 1639292964, issued on Apr 10, 2007. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Glen Rose, TX. The record was last updated on Sep 11, 2025.