Individual provider · NPI-1
Dr. Craig Kent King, MD
Ophthalmology · Longview, TX
NPI number1851340285
StatusActive
Last updated in NPPESMay 17, 2010
Details
- NPI
- 1851340285
- Entity type
- Individual (NPI-1)
- Name
- Dr. Craig Kent King
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 10, 2006
- Last updated
- May 17, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | F6820 | TX | Yes |
Practice location
3209 N 4th StSuite 100
Longview, TX 75605-5145
Phone 903-757-4662
Mailing address
3209 N 4th StSuite 100
Longview, TX 75605-5145
Phone 903-757-4662
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