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Organization
TEXAS PHYSICIAN SERVICES, PLLC
Active
Organization
TEXAS PHYSICIAN SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH MCCLURE MD (OWNER/PROVIDER)
(903) 720-6605
Entity
Organization
Contact information
Practice address
802 MEDICAL CIR STE 200, LONGVIEW, TX 75605-5201
(903) 720-6605
(866) 842-1649
Mailing address
PO BOX 10298, LONGVIEW, TX 75608-0298
(903) 720-6605
(866) 842-1649
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L7479
MEDICAL LICENSE
TX
Enumeration date
01/05/2021
Last updated
09/16/2026
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