Organization
ASSOCIATED CLINICIANS OF EAST TEXAS
Active
Other names
Diagnostic Clinic of Longview
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE M PERKINS (CREDENTIALING COORDINATOR)
(903) 757-6042
Entity
Organization
Contact information
Practice address
707 HOLLYBROOK DR, LONGVIEW, TX 75605-2410
(903) 757-6042
(903) 232-8226
Mailing address
PO BOX 29343, BELFAST, ME 04915-2045
(903) 757-6042
(903) 232-8226
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
225100000X
Physical Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379209501
—
TX
05
—
379209503
—
TX
Enumeration date
03/17/2017
Last updated
02/12/2024
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