Organization
PINEY WOODS ER V, LLC
Active
Other names
EXCEL ER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER KWON M.D. (MANAGER)
(281) 658-1078
Entity
Organization
Contact information
Practice address
1901 GILMER RD, LONGVIEW, TX 75604-2510
(281) 658-1078
Mailing address
1901 GILMER RD, LONGVIEW, TX 75604-2510
(281) 658-1078
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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