Dr James E Mauldin Jr, MD | |
2904 N 4th St, Suite 101, Longview, TX 75605-5129 | |
(903) 753-4603 | |
(903) 757-5045 |
Full Name | Dr James E Mauldin Jr |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 2904 N 4th St, Longview, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306813662 | NPI | - | NPPES |
128284007 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | F9792 (Texas) | Primary |
207V00000X | Obstetrics & Gynecology | F9792 (Texas) | Secondary |
Entity Name | Longview Wellness Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942269493 PECOS PAC ID: 1254367766 Enrollment ID: O20050714001046 |
Mailing Address | Practice Location Address |
---|---|
Dr James E Mauldin Jr, MD 2904 4th St Ste 101a, Longview, TX 75605-5129 Ph: (903) 753-4603 | Dr James E Mauldin Jr, MD 2904 N 4th St, Suite 101, Longview, TX 75605-5129 Ph: (903) 753-4603 |
Jeffrey G Mcwilliams Sr., MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1300 N 6th St Unit A, Longview, TX 75601 Phone: 903-232-8928 Fax: 903-234-1639 | |
Jeffory W Beaty, DO General Practice Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000 | |
Brian Mendenhall, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000 | |
Wayne N Leeves, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 4002 Technology Ctr, Longview, TX 75605 Phone: 903-247-0484 Fax: 903-247-0485 |