Organization
LONGVIEW RESTORATIVE THERAPY
Active
Other names
Mt. Pleasant Restorative Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BREVARD DC (MANAGING AUTHORITY)
(903) 845-8445
Entity
Organization
Contact information
Practice address
2320 HARTS BLUFF RD, MT PLEASANT, TX 75455-7453
(903) 845-8445
(903) 845-8421
Mailing address
404 W UPSHUR AVE, GLADEWATER, TX 75647-2124
(903) 845-8445
(903) 845-8421
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M3109
TX
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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