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Individual

JULIAN VANLANDINGHAM DEESE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3209 4TH ST, SUITE 300, LONGVIEW, TX 75605-5171
(903) 212-3262
Mailing address
3209 4TH ST, SUITE 300, LONGVIEW, TX 75605-5171
(903) 212-3262

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
F7442
TX
207RG0100X
Gastroenterology Physician
Primary
F7442
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115487404
TX
Enumeration date
06/18/2006
Last updated
04/26/2016
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