Organization
LAUVES PPECC LLC
Active
Other names
VIVA Pediatric Healthcare Longview, Lauve's Pediatric Extended Care
Organization subpart
No
Provider details
NPI number
Authorized official
EFREM L COLMENERO (PRESIDENT)
(469) 341-7772
Entity
Organization
Contact information
Practice address
403 ENTERPRISE ST, LONGVIEW, TX 75604-5463
(318) 465-5494
(318) 383-1215
Mailing address
275 W CAMPBELL RD STE 400, RICHARDSON, TX 75080-3581
(469) 341-7772
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4017402-01
—
TX
Enumeration date
06/25/2018
Last updated
03/02/2026
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