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Organization

SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED

Active
Other names
INTEGRATED CARE CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
KIM DALE NESVIG (CEO)
(903) 234-0776
Entity
Organization

Contact information

Practice address
1300 N 6TH ST, LONGVIEW, TX 75601-5567
(903) 232-1785
(903) 232-1782
Mailing address
PO BOX 2709, LONGVIEW, TX 75606-2709
(903) 234-0776
(903) 234-9769

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
TX

Other

Enumeration date
03/16/2018
Last updated
03/16/2018
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