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Glen Ray Goldsmith, MD
Specialist in Palestine, Texas
NPI 1811995343

Glen Ray Goldsmith is a Specialist based in Palestine, TX. Glen Ray Goldsmith practices in Palestine, TX and has the professional credentials of MD. The NPI Number for Glen Ray Goldsmith is 1811995343 and holds a License No. F4004 (Texas).

The current practice location address for Glen Ray Goldsmith is 127 Medical Dr, Palestine, TX and can be reached out via phone at 903-729-5067 and via fax at 903-729-2841.

Location: 127 Medical Dr, Palestine, TX, 75801-4781
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811995343
Provider Name
Glen Ray Goldsmith
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
127 Medical Dr, Palestine, TX, 75801-4781
Phone Number
903-729-5067
Fax Number
903-729-2841
Provider Enumeration Date
07/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FR420 05 TX
institution
Provider Business Practice Location Address Details
Address
127 Medical Dr
City
Palestine
State
Texas
Zip
75801-4781
Phone Number
903-729-5067
Fax Number
903-729-2841
person
Provider Business Mailing Address Details
Address
127 Medical Dr
City
Palestine
State
Texas
Zip
75801-4781
Phone Number
903-729-5067
Fax Number
903-729-2841
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
F4004 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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