Premiere Pediatrics Pllc

NPI #1124721410 in Longview, Texas

Provider Information

NPI Number
1124721410
Entity Type
Organization
Organization Name
Premiere Pediatrics Pllc
Primary Specialty
Pediatrics
Enumeration Date
Mar 24, 2023
Last Updated
Mar 24, 2023

Practice Location

Address
703 E MARSHALL AVE STE 4002
State
Texas
ZIP Code
75601-5622
Phone
(903) 315-3966

Authorized Official

Name
SAMANTHA JAYNE ROWORTH-CHAIKIN, DO
Title
PHYSICIAN OWNER
Phone
(903) 315-3966

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Pediatrics

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