Organization
CLINTON RAY BRUNSON, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON RAY BRUNSON MD (PRESIDENT)
(903) 316-8442
Entity
Organization
Contact information
Practice address
3206 4TH ST, LONGVIEW, TX 75605-5143
(903) 663-4800
(903) 663-7394
Mailing address
3206 4TH ST, LONGVIEW, TX 75605-5143
(903) 663-4800
(903) 663-7394
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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