| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/19/2016 |
| Last Update Date | 09/19/2016 |
| Medicare PECOS PAC ID | 1355326158 |
|---|---|
| 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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