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Individual

DR. EZZA TARIQ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-2000
Mailing address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-2000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
V8780
TX
208D00000X
General Practice Physician
Primary
V8780
TX
208M00000X
Hospitalist Physician
V8780
TX

Other

Enumeration date
04/06/2022
Last updated
03/18/2026
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