| Glenn Eugene Hansen, DO, | |
|
2520 Harwood Rd, Suite 200, Bedford, TX 76021-6709 | |
| (817) 267-6222 | |
| Not Available |
| Full Name | Glenn Eugene Hansen |
|---|---|
| Gender | Male |
| Speciality | Pain Medicine - Pain Medicine |
| Location | 2520 Harwood Rd, Bedford, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821179698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0000X | Pain Medicine - Pain Medicine | H9976 (Texas) | Primary |
| Entity Name | Seminole Hospital District of Gaines County Texas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821025990 PECOS PAC ID: 2668382516 Enrollment ID: O20040428000104 |
| Entity Name | Southwest Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831299122 PECOS PAC ID: 6204882947 Enrollment ID: O20050325000524 |
| Entity Name | Concord Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Comanche County Medical Center Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346544616 PECOS PAC ID: 3678753357 Enrollment ID: O20110825000076 |
| Entity Name | Ess of South Texas LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295128247 PECOS PAC ID: 9739491176 Enrollment ID: O20150629000248 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn Eugene Hansen, DO, 2520 Harwood Rd, Suite 200, Bedford, TX 76021-6709 Ph: (817) 267-6222 | Glenn Eugene Hansen, DO, 2520 Harwood Rd, Suite 200, Bedford, TX 76021-6709 Ph: (817) 267-6222 |
Dr. Jerry Michael Stanton, D.O. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Central Dr, Suite 160, Bedford, TX 76022 Phone: 817-268-0104 Fax: 817-268-6102 |
Dr. Patrick Kevin Stanton, D.O. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Central Dr, Suite 160, Bedford, TX 76022 Phone: 817-268-0104 Fax: 817-268-6102 |