| Luckycharm Primary Care Pllc | |
|
2309 Gilmer Rd Ste 101-1077 Longview TX 75604-2133 | |
| (937) 554-8570 | |
| Not Available |
| Full Name | Luckycharm Primary Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2309 Gilmer Rd Ste 101-1077, Longview, Texas |
| Authorized Official Name and Position | Uchenne Evans Mbaraonye (OWNER) |
| Authorized Official Contact | 9375548570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luckycharm Primary Care Pllc 2309 Gilmer Rd Ste 101-1077 Longview TX 75604-2133 Ph: () - | Luckycharm Primary Care Pllc 2309 Gilmer Rd Ste 101-1077 Longview TX 75604-2133 Ph: (937) 554-8570 |
| NPI Number | 1336935857 |
|---|---|
| Provider Enumeration Date | 04/21/2025 |
| Last Update Date | 04/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336935857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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