Genovese, Glenn

Genovese, Glenn is an individual health care provider with primary practice located at 709 Hollybrook Dr Ste 3400 , Longview TX 75605-2412. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Genovese, Glenn can be contacted via phone (039) 758-1464.

Contact Information

Primary practice address
709 Hollybrook Dr Ste 3400 Longview TX 75605-2412
Phone: (039) 758-1464
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X H7302 Texas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X H7302 Texas

Profile Details

NPI number 1265439251
LBN Legal business name Genovese, Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Nov 9th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265439251 NPPES
Texas MEDICAID 129193206

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