Individual
DR. ANITA R SCRIBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
709 HOLLYBROOK DR, SUITE 4500, LONGVIEW, TX 75605-2411
(903) 757-6042
(903) 232-8187
Mailing address
PO BOX 610393, DALLAS, TX 75261-0393
(903) 291-6187
(903) 237-1810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K3455
TX
207RI0200X
Infectious Disease Physician
K3455
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037728501
—
TX
05
—
037728505
—
TX
01
—
1043209919
FACILITY NPI (SHRT)
TX
01
—
3199986-01
TPI FOR GROUP SHRT
TX
01
—
67-1911
MEDICARE PTAN FOR GROUP, SHRT
TX
Enumeration date
03/03/2006
Last updated
09/24/2019
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