Diagnostic Clinic Of Longview Pa

LBN: Diagnostic Clinic Of Longview Pa
Diagnostic Clinic Of Longview Pa is an health care organization with primary practice located at 707 Hollybrook Dr , Longview TX 75605-2410. The organization recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Diagnostic Clinic Of Longview Pa can be contacted via phone (903) 757-6042, or through Reeves, Dora C via phone (903) 291-6062.

Contact Information

Primary practice address
707 Hollybrook Dr Longview TX 75605-2410
Phone: (903) 757-6042
Fax: (903) 232-8226
Website:
Map and Directions
Authorized official contact:
Name: Reeves, Dora C
Phone: (903) 291-6062

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X Texas
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X Texas
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X Texas
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1386638468
LBN Legal business name Diagnostic Clinic Of Longview Pa
DBA Doing business as
Authorized official Reeves, Dora C
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2005
Last updated Feb 5th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386638468 NPPES
Texas MEDICAID 130964306
Texas MEDICAID 130964302
Texas Other 45D0482673
Texas MEDICAID 130964307

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