Premier Pediatrics

NPI 1043355449 - Pediatrics - 208000000X

NPI Details
NPI 1043355449
Enumeration Date 02/21/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KAE KAE
Position CFO
Phone (903) 247-7700
Fax (903) 238-9185
Practice Location
705 E MARSHALL AVE
SUITE 1002
LONGVIEW TX, 75601-5563, US
Phone (903) 247-7700
Fax (903) 238-9185
Business Location
705 E MARSHALL AVE
SUITE 1002
LONGVIEW TX, 75601-5563, US
Phone (903) 247-7700
Fax (903) 238-9185
Toxanomy
Taxonomy Code 208000000X
License State Texas
License Number K1253
Remove 1043355449 NPI Number
 

According to our database, Premier Pediatrics NPI is 1043355449, taxonomy code is 208000000X and license number is K1253, license state is located at Texas. Premier Pediatrics physically located at 705 E Marshall Ave, Longview TX, 75601-5563. NPI Number 1033115704 has the healthcare provider type.

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1043355449 NPI number is provided on an as is basis without warranty of any kind. 1043355449 is maintained by the National Plan & Provider Enumeration System. The contents of Premier Pediatrics are for informational purposes only.