King, Craig Kent
King, Craig Kent is an sole proprietor health care provider with primary practice located at 3209 N 4Th St Suite 100, Longview TX 75605-5145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. King, Craig Kent can be contacted via phone (903) 757-4662.Contact Information
Primary practice address
3209 N 4Th St Suite 100
Longview TX 75605-5145
Phone: (903) 757-4662
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | F6820 | Texas |
Profile Details
| NPI number | 1851340285 |
|---|---|
| LBN Legal business name | King, Craig Kent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | May 17th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851340285 | NPPES |
| Texas | MEDICAID | 089528602 | |
| Texas | Other | 180002305 |
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