Internal Medicine Association Of Longview

LBN: Internal Medicine Association Of Longview
Internal Medicine Association Of Longview is an health care organization with primary practice located at 703 E Marshall Ave Suite 1001, Longview TX 75601-5500. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Internal Medicine Association Of Longview can be contacted via phone (903) 753-7291, or through Overhultz, Laurie L. via phone (903) 753-7291.

Contact Information

Primary practice address
703 E Marshall Ave Suite 1001 Longview TX 75601-5500
Phone: (903) 753-7291
Fax: (903) 315-5000
Website:
Map and Directions
Authorized official contact:
Name: Overhultz, Laurie L. CPCS/CPMSM
Phone: (903) 753-7291

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1427177641
LBN Legal business name Internal Medicine Association Of Longview
DBA Doing business as
Authorized official Overhultz, Laurie L. CPCS/CPMSM
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2007
Last updated Nov 10th, 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 1427177641 NPPES
Texas MEDICAID 094970303

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