| Pathways Physician Services Pllc | |
|
100 W Hawkins Pkwy Ste 100 Longview TX 75605-1864 | |
| (903) 291-3401 | |
| Not Available |
| Full Name | Pathways Physician Services Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 100 W Hawkins Pkwy Ste 100, Longview, Texas |
| Authorized Official Name and Position | Johnny Walton (ADMINISTRATOR) |
| Authorized Official Contact | 9032913401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Physician Services Pllc 100 W Hawkins Pkwy Ste 100 Longview TX 75605-1864 Ph: (903) 291-3401 | Pathways Physician Services Pllc 100 W Hawkins Pkwy Ste 100 Longview TX 75605-1864 Ph: (903) 291-3401 |
| NPI Number | 1093879330 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093879330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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