Organization · NPI-2

Longview Ophthalmology Associates, PLLC

Ophthalmology · Longview, TX

NPI number1215326772
StatusActive
Last updated in NPPESJan 21, 2015

Details

NPI
1215326772
Entity type
Organization (NPI-2)
Legal business name
Longview Ophthalmology Associates, PLLC
Organization subpart
No
Enumeration date
Jan 21, 2015
Last updated
Jan 21, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology––Yes

Practice location

3209 N 4th St
Suite 100
Longview, TX 75605-5171

Phone 903-757-4662 · Fax 903-757-4665

Mailing address

3209 N 4th St
Suite 100
Longview, TX 75605-5171

Phone 903-757-4662 · Fax 903-757-4665

Authorized official

Craig K. King
Manager Member
9037574662

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