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Organization
LONGEVITY URGENT CARE PLLC
Active
Organization
LONGEVITY URGENT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADRIAN C JONES NP-C (NURSE PRACTITIONER)
(940) 320-9709
Entity
Organization
Contact information
Practice address
128 WEST MCCART ST, STE B, KRUM, TX 76249
(940) 390-9709
(940) 482-1775
Mailing address
PO BOX 798, KRUM, TX 76249-0798
(940) 320-9709
(940) 482-1775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K7643
TX
208D00000X
General Practice Physician
F1170
TX
363LF0000X
Family Nurse Practitioner
778411
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
778411
TEXAS BOARD OF NURSING
TX
01
—
F1170
TEXAS MEDICAL BOARD LIC. #
TX
01
—
K7643
TEXAS MEDICAL BOARD LIC. #
TX
Enumeration date
10/24/2011
Last updated
01/28/2016
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