Organization
SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED
Active
Other names
Longview Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAUN'TA WHITEHEAD (EXECUTIVE DIRECTOR)
(903) 234-0776
Entity
Organization
Contact information
Practice address
409 N 6TH ST, LONGVIEW, TX 75601-6536
(903) 501-1747
(903) 758-2283
Mailing address
PO BOX 2709, LONGVIEW, TX 75606-2709
(903) 234-0776
(903) 234-9769
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0848160-01
—
TX
Enumeration date
10/13/2005
Last updated
08/20/2024
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