Individual
LINDA C BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1221 JUDSON RD STE 900, LONGVIEW, TX 75601-3922
(903) 212-8990
(903) 212-8973
Mailing address
1221 JUDSON RD STE 900, LONGVIEW, TX 75601-3922
(903) 212-8990
(903) 212-8973
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP107327
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
239464
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102263403
—
TX
Enumeration date
03/02/2006
Last updated
01/25/2021
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