# EAST TEXAS PRIMARY CARE PHYSICIANS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Primary Care Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447308903
- **Authorized official:** JOHN FORD (ADMINISTRATOR)
- **Authorized official phone:** (903) 247-0484

## Contact information

- **Practice address:** 2101 W LOOP 281, LONGVIEW, TX 75604-2506
- **Practice address phone:** (903) 759-7200
- **Practice address fax:** (903) 759-7206
- **Mailing address:** 4002 TECHNOLOGY CTR, LONGVIEW, TX 75605-2697
- **Mailing address phone:** (903) 247-0484
- **Mailing address fax:** (903) 247-0485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | TX | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 08/22/2020