Organization
SPECIAL HEALTH RESOURCES FOR TEXAS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIM NESVIG (EXECUTIVE DIRECTOR)
(903) 212-7170
Entity
Organization
Contact information
Practice address
402 N 7TH ST, LONGVIEW, TX 75601-6704
(903) 212-7170
(903) 212-7103
Mailing address
PO BOX 2709, LONGVIEW, TX 75606-2709
(903) 212-7170
(903) 212-7103
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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