| East Tx Llc | |
|
2414 Gilmer Rd Longview TX 75604-2111 | |
| (903) 242-8594 | |
| (903) 282-1405 |
| Full Name | East Tx Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2414 Gilmer Rd, Longview, Texas |
| Authorized Official Name and Position | Rohit Narayan (OWNER/DENTIST) |
| Authorized Official Contact | 9032428594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Tx Llc 2414 Gilmer Rd Longview TX 75604-2111 Ph: (903) 242-8594 | East Tx Llc 2414 Gilmer Rd Longview TX 75604-2111 Ph: (903) 242-8594 |
| NPI Number | 1144803743 |
|---|---|
| Provider Enumeration Date | 04/30/2021 |
| Last Update Date | 04/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144803743 | NPI | - | NPPES |
| 26309 | Other | TX | TEXAS STATE BOARD OF DENTAL EXAMINERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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