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Organization
PHYNET, INC.
Active
Organization
PHYNET, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D FORD (CHIEF EXECUTIVE OFFICER)
(903) 247-0484
Entity
Organization
Contact information
Practice address
4002 TECHNOLOGY CTR, LONGVIEW, TX 75605-2697
(903) 247-0484
(903) 247-0485
Mailing address
4002 TECHNOLOGY CTR, LONGVIEW, TX 75605-2697
(903) 247-0484
(903) 247-0485
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159694203
—
TX
Enumeration date
07/12/2006
Last updated
06/08/2023
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