| A Beautiful You Health Center, Llc | |
|
1409 Mccann Rd Longview TX 75601-3852 | |
| (903) 470-8100 | |
| (903) 470-8101 |
| Full Name | A Beautiful You Health Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1409 Mccann Rd, Longview, Texas |
| Authorized Official Name and Position | Charles W. Ball (OWNER) |
| Authorized Official Contact | 9034708100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Beautiful You Health Center, Llc 1409 Mccann Rd Longview TX 75601-3852 Ph: (903) 470-8100 | A Beautiful You Health Center, Llc 1409 Mccann Rd Longview TX 75601-3852 Ph: (903) 470-8100 |
| NPI Number | 1841913480 |
|---|---|
| Provider Enumeration Date | 09/20/2022 |
| Last Update Date | 08/21/2024 |
| Medicare PECOS PAC ID | 6800271271 |
|---|---|
| Medicare Enrollment ID | O20230406000456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841913480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Charles W Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720020738 PECOS PAC ID: 8426047861 Enrollment ID: I20230406000665 |
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