Twelve52 Clinic

LBN: Twelve52 Wellness Clinic
Twelve52 Clinic is an health care organization with primary practice located at 2010 Gilmer Rd Ste 103A , Longview TX 75604-2545. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Twelve52 Wellness Clinic can be contacted via phone (903) 347-5483, or through Royal, Tameka via phone (903) 399-4521.

Contact Information

Primary practice address
2010 Gilmer Rd Ste 103A Longview TX 75604-2545
Phone: (903) 347-5483
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Royal, Tameka Advanced Practice Registered Nurse (APRN)
Phone: (903) 399-4521

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1386210441
LBN Legal business name Twelve52 Wellness Clinic
DBA Doing business as Twelve52 Clinic
Authorized official Royal, Tameka Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2021
Last updated Sep 17th, 2021 - about 3 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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