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Organization
SABINE VALLEY REGIONAL MHMR CENTER
Active
Organization
SABINE VALLEY REGIONAL MHMR CENTER
Active
Other names
Community Healthcore
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY O VILLARREAL (CREDENTIALING SPECIALIST)
(903) 234-4226
Entity
Organization
Contact information
Practice address
107 WOODBINE PL, LONGVIEW, TX 75601-2912
(903) 758-2471
(903) 234-1639
Mailing address
107 WOODBINE PL, LONGVIEW, TX 75601-2912
(903) 234-4226
(903) 234-1639
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/12/2019
Last updated
06/30/2022
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