Premiere Pediatrics Pllc

LBN: Premiere Pediatrics Pllc
Premiere Pediatrics Pllc is an health care organization with primary practice located at 703 E Marshall Ave Ste 4002 , Longview TX 75601-5622. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Premiere Pediatrics Pllc can be contacted via phone (903) 315-3966, or through Roworth-Chaikin, Samantha Jayne via phone (903) 315-3966.

Contact Information

Primary practice address
703 E Marshall Ave Ste 4002 Longview TX 75601-5622
Phone: (903) 315-3966
Fax: (903) 230-0795
Website:
Map and Directions
Authorized official contact:
Name: Roworth-Chaikin, Samantha Jayne Doctor of Osteopathy (DO)
Phone: (903) 315-3966

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1124721410
LBN Legal business name Premiere Pediatrics Pllc
DBA Doing business as
Authorized official Roworth-Chaikin, Samantha Jayne Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2023
Last updated Mar 24th, 2023 - about last year

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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