Kilgore Life Center

NPI #1093982290 in Kilgore, Texas

Provider Information

NPI Number
1093982290
Entity Type
Organization
Organization Name
Kilgore Life Center
Subpart
Yes (part of a larger organization)
Parent Organization
PHYNET, INC.
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
May 15, 2008
Last Updated
Sep 2, 2025

Practice Location

Address
1711 S HENDERSON BLVD STE 300
State
Texas
ZIP Code
75662-3563
Phone
(903) 984-2145

Authorized Official

Name
MR. JOHN D. FORD
Title
PRESIDENT
Phone
(903) 247-0484

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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