Individual
DR. CRAIG KENT KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3209 N 4TH ST, SUITE 100, LONGVIEW, TX 75605-5145
(903) 757-4662
Mailing address
3209 N 4TH ST, SUITE 100, LONGVIEW, TX 75605-5145
(903) 757-4662
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
F6820
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089528602
—
TX
01
—
180002305
RAILROAD MEDICARE
TX
Enumeration date
05/10/2006
Last updated
05/17/2010
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