Julian V Deese, Md, Pllc | |
3209 4th St Suite 300 Longview TX 75605-5171 | |
(903) 212-3262 | |
Not Available |
Full Name | Julian V Deese, Md, Pllc |
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Speciality | Internal Medicine |
Location | 3209 4th St, Longview, Texas |
Authorized Official Name and Position | Julian Deese (PHYSICIAN/OWNER) |
Authorized Official Contact | 9032123262 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Julian V Deese, Md, Pllc 3209 4th St Suite 300 Longview TX 75605-5171 Ph: (903) 212-3262 | Julian V Deese, Md, Pllc 3209 4th St Suite 300 Longview TX 75605-5171 Ph: (903) 212-3262 |
NPI Number | 1669826863 |
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Provider Enumeration Date | 04/14/2016 |
Last Update Date | 04/14/2016 |
Medicare PECOS PAC ID | 6709175110 |
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Medicare Enrollment ID | O20160524001062 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669826863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Julian Deese |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1477598969 PECOS PAC ID: 2466442074 Enrollment ID: I20040515000292 |
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