| |
4002 Technology Ctr Longview TX 75605-2697 | |
(903) 247-0484 | |
(903) 247-0485 |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 4002 Technology Ctr, Longview, Texas |
Authorized Official Name and Position | John D Ford (PRESIDENT) |
Authorized Official Contact | 9032470484 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
123 N Main St Po Box 252 Lone Star TX 75668-0252 Ph: (903) 656-0633 | 4002 Technology Ctr Longview TX 75605-2697 Ph: (903) 247-0484 |
NPI Number | 1558684944 |
---|---|
Provider Enumeration Date | 03/12/2010 |
Last Update Date | 07/07/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558684944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Family Focus Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101b Woodbine Pl, Longview, TX 75601 Phone: 903-236-6222 Fax: 903-236-0808 | |
Whole Counseling, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 N Fredonia St Ste 114, Longview, TX 75601 Phone: 720-404-5682 | |
Gail D Stockman Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 N 4th St, Suite A, Longview, TX 75601 Phone: 406-253-3430 |