| Luckycharm Primary Care PLLC | |
|
3521 N Fourth Street, Suite 100 Longview TX 75605 | |
| (903) 448-2273 | |
| (773) 825-8352 |
| Full Name | Luckycharm Primary Care PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3521 N Fourth Street, Suite 100, Longview, Texas |
| Authorized Official Name and Position | Uchenne Evans Mbaraonye (OWNER) |
| Authorized Official Contact | 9375548570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luckycharm Primary Care PLLC 2309 Gilmer Rd Ste 101 Longview TX 75604-2133 Ph: (903) 488-2273 | Luckycharm Primary Care PLLC 3521 N Fourth Street, Suite 100 Longview TX 75605 Ph: (903) 448-2273 |
| NPI Number | 1336935857 |
|---|---|
| Provider Enumeration Date | 04/21/2025 |
| Last Update Date | 12/29/2025 |
| Certification Date | 12/29/2025 |
| Medicare PECOS PAC ID | 3577058452 |
|---|---|
| Medicare Enrollment ID | O20260129000892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336935857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Uchenne Mbaraonye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629633235 PECOS PAC ID: 4789067844 Enrollment ID: I20250301000014 |
1st Choice Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1205 N 6th St, Longview, TX 75601 Phone: 903-230-0235 Fax: 903-230-0242 |
Carebridge Medteam, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 N 3rd St, Longview, TX 75601 Phone: 903-475-3474 |
Longview Care Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 409 N 6th St, Longview, TX 75601 Phone: 903-501-1747 Fax: 903-758-2283 |
Family Focus Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101b Woodbine Pl, Longview, TX 75601 Phone: 903-236-6222 Fax: 903-236-0808 |
Whole Counseling, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 N Fredonia St Ste 280, Longview, TX 75601 Phone: 903-402-5746 |
Gail D Stockman MD, PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 N 4th St, Suite A, Longview, TX 75601 Phone: 406-253-3430 |