Organization
1ST CHOICE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN MCCRORY DO (CEO)
(903) 230-0235
Entity
Organization
Contact information
Practice address
1205 N 6TH ST, LONGVIEW, TX 75601-5539
(903) 230-0235
(903) 230-0242
Mailing address
1205 N 6TH ST, LONGVIEW, TX 75601-5539
(903) 230-0235
(903) 230-0242
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K1253
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1292369-04
—
TX
Enumeration date
02/14/2014
Last updated
02/14/2014
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