| Texas Physician Services, Pllc | |
|
615 Clinic Dr Longview TX 75605-5172 | |
| (903) 720-6605 | |
| (866) 842-1649 |
| Full Name | Texas Physician Services, Pllc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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