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Contact Information

ASSOCIATED CLINICIANS OF EAST TEXAS
707 HOLLYBROOK DR
LONGVIEW, TX75605-2410
 Phone: 903-757-6042
 Fax: 903-232-8226
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Hospitalist

208M00000X
 

Neurology

2084N0400X 13 Physician/Neurology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ASSOCIATED CLINICIANS OF EAST TEXAS · (Female)

NPI # 1932640349
Status Active
Credentials
Entity Individual
Enumeration date 03/17/2017
Last updated 02/12/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 379209501
  • TX Medicaid 379209503
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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