Individual
CODY LANCE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
707 HOLLYBROOK DR STE 200, LONGVIEW, TX 75605-2410
(903) 291-6191
Mailing address
340 CROSS CREEK RD, LONGVIEW, TX 75602-7604
(903) 399-4128
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1079757
TX
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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