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Organization
PCA-C
Active
Organization
PCA-C
Active
Other names
PCA-C
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINTON KOGER (MEDICAL DIRECTOR)
(903) 408-7751
Entity
Organization
Contact information
Practice address
8110 WESLEY ST, SUITE 100, GREENVILLE, TX 75402-3935
(903) 408-7751
(903) 408-7802
Mailing address
PO BOX 957, GREENVILLE, TX 75403-0957
(903) 408-7751
(903) 408-7802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/09/2010
Last updated
06/15/2010
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