Longview Physicians Surgical Center

NPI #1194708024 in Longview, Texas

Provider Information

NPI Number: 1194708024
Entity Type: Organization
Organization Name: Longview Physicians Surgical Center
Primary Specialty: Clinic/Center - Ambulatory Surgical
Enumeration Date: Nov 23, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 1404 N 4TH ST
City: Longview
State: Texas
ZIP Code: 75601-4756
Phone: (903) 248-9240

Authorized Official

Name: MS. JACINDA MICHEAL BENTON
Title: ADMINISTRATOR
Phone: (903) 248-9240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Ambulatory Surgical — Ambulatory Surgical	261QA1903X	Primary

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