Hardesty, Glenn

Hardesty, Glenn is an individual health care provider with primary practice located at 800 W Randol Mill Rd , Arlington TX 76012-2504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Hardesty, Glenn can be contacted via phone (817) 548-6202.

Contact Information

Primary practice address
800 W Randol Mill Rd Arlington TX 76012-2504
Phone: (817) 548-6202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X K8201 Texas

Profile Details

NPI number 1184693749
LBN Legal business name Hardesty, Glenn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Oct 15th, 2013 - about 11 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 1184693749 NPPES
Texas Other 88778Z BCBS THRU AEMA
Texas MEDICAID 029651902 BCBS THRU AEMA
Texas Other 8BT321 BCBS THRU AEMA
Texas Other 930124542 BCBS THRU AEMA
Texas Other P01207143 BCBS THRU AEMA
Texas MEDICAID 029651903 BCBS THRU AEMA

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