East Texas Urology, Pllc in Longview - Specialist
East Texas Urology, Pllc - NPI 1154400265
East Texas Urology, Pllc is a Specialist in Longview, Texas. East Texas Urology, Pllc practices all healthcare services and medical treatments related to Specialist. The NPI Number for East Texas Urology, Pllc is 1154400265. The last update date is 2020-08-22.
East Texas Urology, Pllc's current location address is 703 E Marshall Ave, Longview, Texas. You can contact this provider via phone number 9037577871 and fax number 9037532479. The mailing address for East Texas Urology, Pllc is 703 E Marshall Ave, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Texas Urology, Pllc |
|---|---|
| Address | 703 E Marshall Ave, Longview, Texas |
| Phone Number | 9037577871 |
| Fax Number | 9037532479 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Carrington Ann Vicki |
| Telephone Number | 9037577871 |
NPI Number Detail
| NPI Number | 1154400265 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 703 E Marshall Ave |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756015500 |
| Phone Number | 9037577871 |
| Fax Number | 9037532479 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to East Texas Urology, Pllc by the Centers for Medicare & Medicaid Services?
The East Texas Urology, Pllc has been issued the NPI (National Provider Identifier) 1154400265, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where East Texas Urology, Pllc's facilities are geographically located?
The facilities of East Texas Urology, Pllc are physically situated at the following location: 703 E Marshall Ave, Longview, TX, 756015500.
What is East Texas Urology, Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for East Texas Urology, Pllc is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the East Texas Urology, Pllc receive its 1154400265 assignment from the Centers for Medicare & Medicaid Services?
The East Texas Urology, Pllc was assigned its 1154400265 by the Centers for Medicare & Medicaid Services on 2006-11-02.
When was the information regarding East Texas Urology, Pllc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to East Texas Urology, Pllc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.