| East Texas Medical Specialists Pllc | |
|
700 E Marshall Ave Longview TX 75601-5580 | |
| (903) 315-2000 | |
| Not Available |
| Full Name | East Texas Medical Specialists Pllc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 700 E Marshall Ave, Longview, Texas |
| Authorized Official Name and Position | Stanley D. Upchurch (PARTNER) |
| Authorized Official Contact | 9033152445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Medical Specialists Pllc 9229 Lyndon B Johnson Fwy Suite 250 Dallas TX 75243-3405 Ph: (972) 739-3097 | East Texas Medical Specialists Pllc 700 E Marshall Ave Longview TX 75601-5580 Ph: (903) 315-2000 |
| NPI Number | 1235162777 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235162777 | NPI | - | NPPES |
| 165657101 | Medicaid | TX | |
| 0008LT | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
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