| Dr Glenn Hardesty, DO | |
|
800 W Randol Mill Rd, Arlington, TX 76012-2504 | |
| (817) 548-6202 | |
| Not Available |
| Full Name | Dr Glenn Hardesty |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 800 W Randol Mill Rd, Arlington, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184693749 | NPI | - | NPPES |
| 88778Z | Other | TX | BCBS THRU AEMA |
| 029651902 | Medicaid | TX | |
| 8BT321 | Other | TX | BCBS THRU SAEMA |
| 930124542 | Other | TX | RAILROAD THRU AEMA |
| P01207143 | Other | TX | RAILROAD MCARE |
| 029651903 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | K8201 (Texas) | Primary |
| Entity Name | Texas Medicine Resources, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376581900 PECOS PAC ID: 5890688212 Enrollment ID: O20130702000785 |
| Entity Name | El Dorado Urgent Care, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154799328 PECOS PAC ID: 0547528887 Enrollment ID: O20171214002627 |
| Entity Name | Woodbridge Physicians Staffing Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750777322 PECOS PAC ID: 1052679305 Enrollment ID: O20171214002834 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glenn Hardesty, DO P O Box 960160, Oklahoma City, OK 73196-0001 Ph: (877) 485-4474 | Dr Glenn Hardesty, DO 800 W Randol Mill Rd, Arlington, TX 76012-2504 Ph: (817) 548-6202 |
Nicholas Keeven, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3301 Matlock Rd, Arlington, TX 76015 Phone: 682-509-6200 | |
Shane Parker Cole, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Interstate 20 W, Usmd Hosp -- Er Dept, Arlington, TX 76017 Phone: 817-472-3400 | |
Dr. Jon Thomas Beezley, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 W Randol Mill Rd, Arlington, TX 76012 Phone: 817-548-6205 | |
Dr. Gayla B Garner, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3301 Matlock Rd, Arlington, TX 76015 Phone: 972-758-3598 | |
Dr. David Okhumode Momoh, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 3301 Matlock Rd, Arlington, TX 76015 Phone: 682-509-6200 | |
Kristen L Marks, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3301 Matlock Rd, Arlington, TX 76015 Phone: 682-509-4540 Fax: 682-509-4541 | |
Joseph W Nawrocki, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3301 Matlock Rd, Arlington, TX 76015 Phone: 972-758-3598 |