| The Cameron Clinic Pllc | |
|
505 N 6th St Longview TX 75601-6604 | |
| (903) 501-5056 | |
| (903) 499-5056 |
| Full Name | The Cameron Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 505 N 6th St, Longview, Texas |
| Authorized Official Name and Position | Benjamin Jacob Cameron (MANAGER) |
| Authorized Official Contact | 9035015056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Cameron Clinic Pllc 505 N 6th St Longview TX 75601-6604 Ph: (903) 501-5056 | The Cameron Clinic Pllc 505 N 6th St Longview TX 75601-6604 Ph: (903) 501-5056 |
| NPI Number | 1447915277 |
|---|---|
| Provider Enumeration Date | 11/05/2021 |
| Last Update Date | 12/02/2021 |
| Medicare PECOS PAC ID | 2365834157 |
|---|---|
| Medicare Enrollment ID | O20220128001942 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447915277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Charlsie Ferguson Gillcoat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629246574 PECOS PAC ID: 3072683994 Enrollment ID: I20080604000591 |
| Provider Name | Rebekah Hacker Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205225620 PECOS PAC ID: 1850600313 Enrollment ID: I20151023000151 |
| Provider Name | Benjamin Cameron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205248424 PECOS PAC ID: 5395044515 Enrollment ID: I20170519000936 |
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