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Organization

PINE TREE ISD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA GWIN (DIRECTOR)
(903) 295-5173
Entity
Organization

Contact information

Practice address
704 BIRCH ST, LONGVIEW, TX 75604-2311
(903) 295-5173
Mailing address
PO BOX 5878, LONGVIEW, TX 75608-5878
(903) 295-5173

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary

Other

Enumeration date
04/17/2007
Last updated
08/22/2020
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Product
  • Claims
  • Eligibility checks
  • EDI platform