Organization
LETS GROW KIDS CLINIC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
TORI JOHNSTON FNP-C (OWNER)
(903) 309-5689
Entity
Organization
Contact information
Practice address
2010 GILMER RD STE 103B, LONGVIEW, TX 75604-2545
(903) 309-5689
Mailing address
2010 GILMER RD STE 103B, LONGVIEW, TX 75604-2545
(903) 309-5689
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/25/2024
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