Organization
GSPS GASTROENTEROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE GLOVER (EVP/COO)
(903) 315-5704
Entity
Organization
Contact information
Practice address
701 E MARSHALL AVE, SUITE 200, LONGVIEW, TX 75601-5659
(903) 236-2222
Mailing address
PO BOX 731386, DALLAS, TX 75373-1386
(903) 236-2222
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
12/30/2010
Last updated
11/14/2013
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