Organization
PHYNET, INC
Active
Other names
Tall Pines Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D FORD (PRESIDENT)
(903) 247-0484
Entity
Organization
Contact information
Practice address
4002 TECHNOLOGY CTR, LONGVIEW, TX 75605-2697
(903) 247-0484
(903) 247-0485
Mailing address
123 N MAIN ST, PO BOX 252, LONE STAR, TX 75668-0252
(903) 656-0633
(903) 656-0638
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2010
Last updated
07/07/2010
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