| Diagnostic Clinic Of Longview Pa | |
|
707 Hollybrook Dr Longview TX 75605-2410 | |
| (903) 757-6042 | |
| (903) 232-8226 |
| Full Name | Diagnostic Clinic Of Longview Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 707 Hollybrook Dr, Longview, Texas |
| Authorized Official Name and Position | Dora C Reeves (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 9032916062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diagnostic Clinic Of Longview Pa 707 Hollybrook Dr Longview TX 75605-2410 Ph: (903) 757-6042 | Diagnostic Clinic Of Longview Pa 707 Hollybrook Dr Longview TX 75605-2410 Ph: (903) 757-6042 |
| NPI Number | 1386638468 |
|---|---|
| Provider Enumeration Date | 09/06/2005 |
| Last Update Date | 02/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386638468 | NPI | - | NPPES |
| 130964306 | Medicaid | TX | |
| 130964302 | Medicaid | TX | |
| 45D0482673 | Other | TX | DME RR MEDICARE |
| 130964307 | Medicaid | TX |
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