The Cameron Clinic Pllc | |
3204 4th St Longview TX 75605-5143 | |
(903) 501-5056 | |
(903) 499-5056 |
Full Name | The Cameron Clinic Pllc |
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Speciality | Clinic/Center |
Location | 3204 4th St, Longview, Texas |
Authorized Official Name and Position | Benjamin Jacob Cameron (MANAGER) |
Authorized Official Contact | 9035015056 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Cameron Clinic Pllc 3204 4th St Longview TX 75605-5143 Ph: (903) 501-5056 | The Cameron Clinic Pllc 3204 4th St Longview TX 75605-5143 Ph: (903) 501-5056 |
NPI Number | 1447915277 |
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Provider Enumeration Date | 11/05/2021 |
Last Update Date | 02/07/2025 |
Medicare PECOS PAC ID | 2365834157 |
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Medicare Enrollment ID | O20220128001942 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447915277 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Charlsie Ferguson Gillcoat |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629246574 PECOS PAC ID: 3072683994 Enrollment ID: I20080604000591 |
Provider Name | Marcus D Turney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144610106 PECOS PAC ID: 5991007577 Enrollment ID: I20160114000142 |
Provider Name | Betsy Chappell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356701221 PECOS PAC ID: 1254638687 Enrollment ID: I20160329002271 |
Provider Name | Benjamin Cameron |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205248424 PECOS PAC ID: 5395044515 Enrollment ID: I20170519000936 |
Provider Name | Lacie Harris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366918328 PECOS PAC ID: 0345630158 Enrollment ID: I20211210000721 |
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