Organization
ASSOCIATED CLINICIANS OF EAST TEXAS
Active
Other names
DIAGNOSTIC CLINIC OF LONGVIEW
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE M PERKINS (CREDENTIALING OFFICE COORDINATOR)
(903) 232-8501
Entity
Organization
Contact information
Practice address
709 HOLLYBROOK DR, SUITE 4500, LONGVIEW, TX 75605-2411
(903) 291-6030
(903) 291-6080
Mailing address
709 HOLLYBROOK DR, SUITE 4500, LONGVIEW, TX 75605-2411
(903) 757-6042
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
21518
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
02/19/2024
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