Texas Spine & Joint Hospital Longview Clinic | |
725 N 4th St Longview TX 75601-5412 | |
(903) 525-3422 | |
(903) 525-3397 |
Full Name | Texas Spine & Joint Hospital Longview Clinic |
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Speciality | Clinic/center |
Location | 725 N 4th St, Longview, Texas |
Authorized Official Name and Position | Jenetha D Moran (OFFICER / AUTHORIZED OFFICIAL) |
Authorized Official Contact | 9727633893 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Texas Spine & Joint Hospital Longview Clinic 725 N 4th St Longview TX 75601-5412 Ph: (903) 525-3422 | Texas Spine & Joint Hospital Longview Clinic 725 N 4th St Longview TX 75601-5412 Ph: (903) 525-3422 |
NPI Number | 1619274776 |
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Provider Enumeration Date | 02/24/2011 |
Last Update Date | 09/23/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619274776 | NPI | - | NPPES |
HH1021 | Other | TX | BCBS |
162459502 | Medicaid | TX | |
162459501 | Medicaid | TX |
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 |