| The Dot Express, Llc | |
|
303 W Loop 281 Ste 110-147 Longview TX 75605-4470 | |
| (903) 807-8281 | |
| Not Available |
| Full Name | The Dot Express, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 303 W Loop 281 Ste 110-147, Longview, Texas |
| Authorized Official Name and Position | Dominique S Harnage (OWNER) |
| Authorized Official Contact | 9038078281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dot Express, Llc 303 W Loop 281 Ste 110-147 Longview TX 75605-4470 Ph: (903) 807-8281 | The Dot Express, Llc 303 W Loop 281 Ste 110-147 Longview TX 75605-4470 Ph: (903) 807-8281 |
| NPI Number | 1962100685 |
|---|---|
| Provider Enumeration Date | 02/21/2023 |
| Last Update Date | 04/27/2023 |
| Medicare PECOS PAC ID | 6406229608 |
|---|---|
| Medicare Enrollment ID | O20230309001774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962100685 | NPI | - | NPPES |
| Provider Name | Dominique S Harnage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477103414 PECOS PAC ID: 2163848623 Enrollment ID: I20200813002918 |
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