Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glen Rose Medical Foundation

Organization Anesthesiology Physician · NPI 1992749857

Glen Rose Medical Foundation is an Anesthesiology Physician in Glen Rose, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
Specialties on file
3

Practice location Address checks out

1021 Holden St
Glen Rose, TX 76043-4937
Phone: (254) 897-2215
Fax: (254) 897-1446
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 000059 (TX)
Anesthesiology Physician Taxonomy 207L00000X · Licence 000059 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 000059 (TX)

Record details

NPI number1992749857
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hal Mayo — Cfo · (254) 897-2215
Other names Glen Rose Medical Center
NPI enumeratedJune 15, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 2099, Glen Rose, TX 76043-2099

Other providers in Glen Rose