Longview Regional Hospital-Based Professional Services

NPI #1407625247 in Longview, Texas

Provider Information

NPI Number: 1407625247
Entity Type: Organization
Organization Name: Longview Regional Hospital-Based Professional Services
Primary Specialty: Emergency Medicine
Enumeration Date: Dec 21, 2023
Last Updated: Dec 27, 2023

Practice Location

Address: 2901 4TH ST
City: Longview
State: Texas
ZIP Code: 75605-5128
Phone: (903) 758-1818

Authorized Official

Name: KRISTY MUSIC
Title: DIRECTOR, PROVIDER ENROLLMENT
Phone: (877) 892-9815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X
Anesthesiology - Critical Care Medicine — Critical Care Medicine	207LC0200X
Hospitalist	208M00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Nurse Anesthetist, Certified Registered	367500000X
Emergency Medicine	207P00000X	Primary

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