| Internal Medicine Association of Longview | |
|
703 E Marshall Ave Suite 1001 Longview TX 75601-5500 | |
| (903) 753-7291 | |
| (903) 315-5000 |
| Full Name | Internal Medicine Association of Longview |
|---|---|
| Speciality | Internal Medicine |
| Location | 703 E Marshall Ave, Longview, Texas |
| Authorized Official Name and Position | Laurie L. Overhultz (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9037537291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Association of Longview 703 E Marshall Ave Suite 1001 Longview TX 75601-5500 Ph: (903) 753-7291 | Internal Medicine Association of Longview 703 E Marshall Ave Suite 1001 Longview TX 75601-5500 Ph: (903) 753-7291 |
| NPI Number | 1427177641 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 11/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427177641 | NPI | - | NPPES |
| 094970303 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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