| Longview Neurological Clinic Pllc | |
|
2441 E Us Highway 377 Suite 105 Granbury TX 76049-5991 | |
| (903) 235-0319 | |
| Not Available |
| Full Name | Longview Neurological Clinic Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Vascular Neurology |
| Location | 2441 E Us Highway 377, Granbury, Texas |
| Authorized Official Name and Position | Liana E Dawson (OWNER/MANAGER) |
| Authorized Official Contact | 9032350319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Longview Neurological Clinic Pllc 2441 E Us Highway 377 Suite 105 Granbury TX 76049-5991 Ph: (903) 235-0319 | Longview Neurological Clinic Pllc 2441 E Us Highway 377 Suite 105 Granbury TX 76049-5991 Ph: (903) 235-0319 |
| NPI Number | 1225280704 |
|---|---|
| Provider Enumeration Date | 10/16/2008 |
| Last Update Date | 10/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225280704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084V0102X | Psychiatry & Neurology - Vascular Neurology | K0451 (Texas) | Primary |
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