Long Term Care Associates | |
455 Rice Rd Ste 112 Tyler TX 75703-3604 | |
(903) 534-4805 | |
(903) 939-8419 |
Full Name | Long Term Care Associates |
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Speciality | Family Medicine - Geriatric Medicine |
Location | 455 Rice Rd Ste 112, Tyler, Texas |
Authorized Official Name and Position | Steve E Rowley (OWNER) |
Authorized Official Contact | 9035344805 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Long Term Care Associates 455 Rice Rd Ste 112 Tyler TX 75703-3604 Ph: (903) 534-4805 | Long Term Care Associates 455 Rice Rd Ste 112 Tyler TX 75703-3604 Ph: (903) 534-4805 |
NPI Number | 1336328863 |
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Provider Enumeration Date | 11/01/2007 |
Last Update Date | 03/10/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336328863 | NPI | - | NPPES |
079954601 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | F1955TX (Texas) | Primary |
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