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Organization

ASSOCIATED CLINICIANS OF EAST TEXAS

Active
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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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