Special Health Resources For Texas, Inc | |
402 N 7th St Longview TX 75601-6704 | |
(903) 212-7170 | |
(903) 212-7103 |
Full Name | Special Health Resources For Texas, Inc |
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Speciality | Clinic/Center |
Location | 402 N 7th St, Longview, Texas |
Authorized Official Name and Position | Kim Nesvig (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9032127170 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Special Health Resources For Texas, Inc Po Box 2709 Longview TX 75606-2709 Ph: (903) 212-7170 | Special Health Resources For Texas, Inc 402 N 7th St Longview TX 75601-6704 Ph: (903) 212-7170 |
NPI Number | 1922556067 |
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Provider Enumeration Date | 09/19/2016 |
Last Update Date | 09/19/2016 |
Medicare PECOS PAC ID | 1355326158 |
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Medicare Enrollment ID | O20161115002688 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922556067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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