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Longview Physicians Surgical Center

Clinic/Center, Ambulatory Surgical in Longview, TX. Organization (NPI-2).

NPI number1194708024
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1194708024
Entity type
Organization (NPI-2)
Legal business name
Longview Physicians Surgical Center
Organization subpart
No
Enumeration date
Nov 23, 2005
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA1903X Clinic/Center, Ambulatory Surgical8064TXYes

Other names

  • Physicians' Surgery Center Of Longview (Doing Business As)

Practice location

1404 N 4th St
Longview, TX 75601-4756

Phone 903-248-9240 · Fax 903-248-9244

Mailing address

1404 N 4th St
Longview, TX 75601-4756

Phone 903-248-9240 · Fax 903-248-9244

Authorized official

Jacinda Micheal Benton
Administrator
9032489240

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Other Ambulatory Surgical Clinic/Center providers in Longview, TX

All 6 Ambulatory Surgical Clinic/Center providers in Longview · All 2,907 providers in Longview

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