Organization
LONGVIEW PHYSICIANS SURGICAL CENTER
Active
Other names
Physicians' Surgery Center of Longview
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACINDA MICHEAL BENTON (ADMINISTRATOR)
(903) 248-9240
Entity
Organization
Contact information
Practice address
1404 N 4TH ST, LONGVIEW, TX 75601-4756
(903) 248-9240
(903) 248-9244
Mailing address
1404 N 4TH ST, LONGVIEW, TX 75601-4756
(903) 248-9240
(903) 248-9244
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
8064
TX
Other
Enumeration date
11/23/2005
Last updated
08/22/2020
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