| Prime Care Managers, LLC | |
|
4002 Technology Ctr Longview TX 75605-2697 | |
| (903) 247-0525 | |
| (903) 230-2709 |
| Full Name | Prime Care Managers, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 4002 Technology Ctr, Longview, Texas |
| Authorized Official Name and Position | Jeanette Schaublin (ACO COORDINATOR) |
| Authorized Official Contact | 9032470525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Care Managers, LLC 4002 Technology Ctr Longview TX 75605-2697 Ph: (903) 247-0525 | Prime Care Managers, LLC 4002 Technology Ctr Longview TX 75605-2697 Ph: (903) 247-0525 |
| NPI Number | 1104541390 |
|---|---|
| Provider Enumeration Date | 10/10/2022 |
| Last Update Date | 03/19/2025 |
| Certification Date | 03/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104541390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
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