Texas Physician Services, Pllc | |
615 Clinic Dr Longview TX 75605-5172 | |
(903) 720-6605 | |
(866) 842-1649 |
Full Name | Texas Physician Services, Pllc |
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Speciality | Internal Medicine |
Location | 615 Clinic Dr, Longview, Texas |
Authorized Official Name and Position | Kenneth Mcclure (OWNER/PROVIDER) |
Authorized Official Contact | 9037206605 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Texas Physician Services, Pllc Po Box 10298 Longview TX 75608-0298 Ph: (903) 720-6605 | Texas Physician Services, Pllc 615 Clinic Dr Longview TX 75605-5172 Ph: (903) 720-6605 |
NPI Number | 1912595018 |
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Provider Enumeration Date | 01/05/2021 |
Last Update Date | 01/05/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912595018 | NPI | - | NPPES |
L7479 | Other | TX | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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