Dr James E Mauldin Jr, MD | |
2904 N 4th St, Suite 101, Longview, TX 75605-5129 | |
(903) 753-4603 | |
(903) 757-5045 |
Full Name | Dr James E Mauldin Jr |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 2904 N 4th St, Longview, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306813662 | NPI | - | NPPES |
128284007 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | F9792 (Texas) | Primary |
Entity Name | Longview Wellness Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942269493 PECOS PAC ID: 1254367766 Enrollment ID: O20050714001046 |
Mailing Address | Practice Location Address |
---|---|
Dr James E Mauldin Jr, MD Po Box 847176, Dallas, TX 75284-7176 Ph: (903) 237-1800 | Dr James E Mauldin Jr, MD 2904 N 4th St, Suite 101, Longview, TX 75605-5129 Ph: (903) 753-4603 |
Dr. Edward E Jacobson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1111 N 6th St, Longview, TX 75601 Phone: 903-758-0731 Fax: 903-758-1369 | |
Dr. Janet L. Kelley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1111 N 6th St, Longview, TX 75601 Phone: 903-753-7658 Fax: 903-236-0385 | |
Dr. Francis J Tibiletti, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 701 E Marshall Ave Ste 309, Longview, TX 75601 Phone: 903-315-2744 Fax: 903-234-1339 | |
Dr. Theresa A Martin, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 802 Medical Dr Ste 200, Longview, TX 75605 Phone: 903-232-8297 Fax: 903-553-7751 | |
Dr. Julia B Van Burkleo, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1111 N 6th St, Longview, TX 75601 Phone: 903-753-7658 Fax: 903-236-0385 | |
Teresa Wood, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 703 E Marshall Ave, Suite 3000, Longview, TX 75601 Phone: 903-315-1970 Fax: 903-315-1977 |