Pathways Physician Services Pllc

NPI 1093879330 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1093879330
Enumeration Date 12/21/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHNNY JOHNNY
Position ADMINISTRATOR
Phone (903) 291-3401
Fax
Practice Location
100 W HAWKINS PKWY STE 100
LONGVIEW TX, 75605-1864, US
Phone (903) 291-3401
Fax
Business Location
100 W HAWKINS PKWY STE 100
LONGVIEW TX, 75605-1864, US
Phone (903) 291-3401
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State
License Number
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According to our database, Pathways Physician Services Pllc NPI is 1093879330, taxonomy code is 2084P0800X Pathways Physician Services Pllc physically located at 100 W Hawkins Pkwy Ste 100, Longview TX, 75605-1864. NPI Number 1033115704 has the healthcare provider type.

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1093879330 NPI number is provided on an as is basis without warranty of any kind. 1093879330 is maintained by the National Plan & Provider Enumeration System. The contents of Pathways Physician Services Pllc are for informational purposes only.