Organization
TWELVE52 WELLNESS CLINIC
Active
Other names
Twelve52 Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TAMEKA ROYAL APRN (NURSE PRACTITIONER)
(903) 399-4521
Entity
Organization
Contact information
Practice address
2010 GILMER RD STE 103A, LONGVIEW, TX 75604-2545
(903) 347-5483
Mailing address
PO BOX 9711, LONGVIEW, TX 75608-9711
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
05/31/2021
Last updated
09/17/2021
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