Makona Snf, Llc | |
1016 Riverwood Dr Longview TX 75604-6229 | |
(214) 232-6811 | |
Not Available |
Full Name | Makona Snf, Llc |
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Speciality | Internal Medicine |
Location | 1016 Riverwood Dr, Longview, Texas |
Authorized Official Name and Position | Anil Kumar Shinghal (OWNER) |
Authorized Official Contact | 2142326811 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Makona Snf, Llc 1016 Riverwood Dr Longview TX 75604-6229 Ph: (214) 232-6811 | Makona Snf, Llc 1016 Riverwood Dr Longview TX 75604-6229 Ph: (214) 232-6811 |
NPI Number | 1801208673 |
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Provider Enumeration Date | 05/28/2014 |
Last Update Date | 05/28/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801208673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | K7895 (Texas) | Primary |
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