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Contact Information

GLENN GENOVESE, MD
709 HOLLYBROOK DR STE 3400
LONGVIEW, TX75605-2412
 Phone: 039-758-1464
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GLENN GENOVESE · (Male)

NPI # 1265439251
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2005
Last updated 11/09/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • TX License # H7302
  • TX Medicaid 129193206
Hospital affiliation(s)
  • LONGVIEW REGIONAL MEDICAL CENTER - (Acute Care)
    2901 N FOURTH ST
    LONGVIEW, TX 75605
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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