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Organization

EAST TEXAS SINUS AND DIZZINESS CENTER, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD GLEN MORTON MD (PRESIDENT)
(903) 212-4399
Entity
Organization

Contact information

Practice address
901 PEGUES PL, LONGVIEW, TX 75601-4027
(903) 212-4399
(903) 236-3108
Mailing address
1 BAZZELL DR, LONGVIEW, TX 75604-4318
(903) 522-9523

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
08/01/2017
Last updated
08/01/2017
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