Organization
POWERS, DOBBS, & MENZINA, INC.
Active
Other names
AristaCare Health Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE JUSTICE (SENIOR VICE PRESIDENT)
(847) 490-3995
Entity
Organization
Contact information
Practice address
913 W LOOP 281, STE #105, LONGVIEW, TX 75604-2901
(903) 295-3338
(903) 295-0004
Mailing address
913 W LOOP 281, STE #105, LONGVIEW, TX 75604-2901
(903) 295-3338
(903) 295-0004
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
15930
TX
3336H0001X
Home Infusion Therapy Pharmacy
Primary
15930
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014554201
—
TX
01
—
750415
BC/BS
TX
Enumeration date
07/18/2006
Last updated
11/18/2021
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