| Glena June Davis, DO | |
|
300 Wilson St, Henderson, TX 75652-5956 | |
| (903) 657-3915 | |
| (036) 576-0729 |
| Full Name | Glena June Davis |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 18 Years |
| Location | 300 Wilson St, Henderson, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932383981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | P0570 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ut Health East Texas Henderson Hospital | Henderson, TX | Hospital |
| East Texas Medical Center - Carthage | Carthage, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Etmc Physician Group, Inc. | 4486915600 | 309 |
| Henderson Hospital Llc | 4789946054 | 8 |
| East Texas Medical Center Henderson | 9234288861 | 8 |
| Henderson Memorial Hospital | 9739159682 | 8 |
| Entity Name | Moore County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700991700 PECOS PAC ID: 1254226269 Enrollment ID: O20040430000610 |
| Entity Name | Texas Specialty Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558521179 PECOS PAC ID: 6305901927 Enrollment ID: O20090216000230 |
| Entity Name | Etmc Physician Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
| Mailing Address | Practice Location Address |
|---|---|
| Glena June Davis, DO 300 Wilson St, Henderson, TX 75652-5956 Ph: (903) 657-3915 | Glena June Davis, DO 300 Wilson St, Henderson, TX 75652-5956 Ph: (903) 657-3915 |
Dr. Bruno Armando Romeo Miramon, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 300 Wilson St, Henderson, TX 75652 Phone: 903-657-7541 |