# CAREBRIDGE MEDTEAM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013741420
- **Authorized official:** LACHELLE GRIFFIN (CHIEF HUMAN RESOURCE OFFICE)
- **Authorized official phone:** (769) 208-4437

## Contact information

- **Practice address:** 515 N 3RD ST, LONGVIEW, TX 75601-6546
- **Practice address phone:** (903) 475-3474
- **Mailing address:** 515 N 3RD ST, LONGVIEW, TX 75601-6546
- **Mailing address phone:** (903) 475-3474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2024
- **Last updated:** 05/29/2025