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2903 Judson Rd, Longview, TX 75605-1803 | |
(903) 663-8848 | |
(903) 663-6347 |
Full Name | |
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Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 2903 Judson Rd, Longview, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306975412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Provider Name | Leslie A Sanders |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992766950 PECOS PAC ID: 2769653245 Enrollment ID: I20110913000436 |
Provider Name | Brianne J Haley |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659741098 PECOS PAC ID: 6103108493 Enrollment ID: I20170208000915 |
Mailing Address | Practice Location Address |
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2903 Judson Rd, Longview, TX 75605-1803 Ph: (903) 663-8845 | 2903 Judson Rd, Longview, TX 75605-1803 Ph: (903) 663-8848 |