Organization
LONGVIEW PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC CHEN MD (MD)
(903) 212-4330
Entity
Organization
Contact information
Practice address
1009 N 4TH ST STE B, LONGVIEW, TX 75601-4768
(903) 212-4330
(903) 212-4333
Mailing address
1009 N 4TH ST STE B, LONGVIEW, TX 75601-4768
(903) 212-4330
(903) 212-4333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M6080
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107539204
—
TX
05
—
107539205
—
TX
Enumeration date
04/05/2013
Last updated
04/05/2013
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