Dr Justin Coleman Hardin, MD | |
707 Hollybrook Dr, Longview, TX 75605-2410 | |
(903) 757-6042 | |
(903) 232-8226 |
Full Name | Dr Justin Coleman Hardin |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 19 Years |
Location | 707 Hollybrook Dr, Longview, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124252796 | NPI | - | NPPES |
340288502 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZD0900X | Pathology - Dermatopathology | P6631 (Texas) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | P6631 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Longview Regional Medical Center | Longview, TX | Hospital |
Titus Regional Medical Center | Mount pleasant, TX | Hospital |
Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Associated Clinicians Of East Texas | 4789957440 | 96 |
Pathology Group Of Louisiana, A Professional Medical Corporation | 6507856317 | 21 |
Entity Name | Associated Clinicians Of East Texas |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932640349 PECOS PAC ID: 4789957440 Enrollment ID: O20170831003007 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin Coleman Hardin, MD Po Box 610393, Dallas, TX 75261-0393 Ph: (903) 291-6187 | Dr Justin Coleman Hardin, MD 707 Hollybrook Dr, Longview, TX 75605-2410 Ph: (903) 757-6042 |
Dr. Melton Harwell Fish, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 700 East Marshall, Longview, TX 75601 Phone: 903-315-2000 | |
Samuel A Henderson, MD Pathology Medicare: Medicare Enrolled Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-757-6042 Fax: 903-232-8226 | |
Dr. Carlton E. Hardin Ii, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-757-6042 Fax: 903-232-8226 | |
Shylashree Chikkamuniyappa Edalur, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1026 Riverwood Dr, Longview, TX 75604 Phone: 903-239-3862 | |
Dr. Moyne T Kornman, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-757-6042 Fax: 903-232-8226 | |
Dr. Jana Lisle Wimmer, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-757-6042 Fax: 903-232-8226 |