Serve All Medical Longview, PLLC
Internal Medicine in Longview, TX. Organization (NPI-2).
NPI number1295310472
StatusActive
Last updated in NPPESJun 23, 2022
Details
- NPI
- 1295310472
- Entity type
- Organization (NPI-2)
- Legal business name
- Serve All Medical Longview, PLLC
- Organization subpart
- No
- Enumeration date
- Mar 10, 2021
- Certification date
- Jun 23, 2022
- Last updated
- Jun 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Clinica Hispana (Doing Business As)
Practice location
1809 W Loop 281 Ste 107Longview, TX 75604-2522
Phone 903-251-3558 · Fax 832-308-1272
Mailing address
Po Box 339Holland, TX 76534-0339
Phone 512-487-5556
Authorized official
Jonathon Ingram
Chief Marketing Officer
8323501778
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