| Tall Pines Health Clinic | |
|
4002 Technology Ctr Longview TX 75605-2697 | |
| (903) 247-0484 | |
| (903) 247-0485 |
| Full Name | Tall Pines Health Clinic |
|---|---|
| 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 |
|---|---|
| Tall Pines Health Clinic 123 N Main St Po Box 252 Lone Star TX 75668-0252 Ph: (903) 656-0633 | Tall Pines Health Clinic 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 |
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