Organization
TINY IMPRESSIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOREN HOLLEY (VICE PRESIDENT)
(903) 663-6800
Entity
Organization
Contact information
Practice address
101 W HAWKINS PKWY STE 2, LONGVIEW, TX 75605-1833
(903) 663-6800
Mailing address
PO BOX 10162, LONGVIEW, TX 75608-0162
(903) 663-6800
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
TX
2471S1302X
Sonography Radiologic Technologist
Primary
—
TX
2471V0105X
Vascular Sonography Radiologic Technologist
—
TX
Other
Enumeration date
12/27/2017
Last updated
06/11/2019
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