Organization
ANCOR HEALTH CENTER, PA
Active
Parent organization
ANCOR HEALTH CENTER PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANCOR HEALTH CENTER PA
Authorized official
EARLENE COOK (PRACTICE MANAGER)
(903) 985-8110
Entity
Organization
Contact information
Practice address
818 N 4TH ST, LONGVIEW, TX 75601-5433
(903) 236-8600
(903) 236-7493
Mailing address
818 N 4TH ST, LONGVIEW, TX 75601-5433
(903) 236-8600
(903) 236-7493
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166395701
—
TX
05
—
166395702
—
TX
05
—
166395704
—
TX
Enumeration date
10/19/2006
Last updated
11/08/2019
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