Internal Medicine Association of Longview

NPI #1427177641 in Longview, Texas

Provider Information

NPI Number: 1427177641
Entity Type: Organization
Organization Name: Internal Medicine Association of Longview
Primary Specialty: Internal Medicine
Enumeration Date: Mar 28, 2007
Last Updated: Nov 10, 2009

Practice Location

Address: 703 E MARSHALL AVE
Address 2: SUITE 1001
City: Longview
State: Texas
ZIP Code: 75601-5500
Phone: (903) 753-7291

Authorized Official

Name: MRS. LAURIE L. OVERHULTZ, CPCS/CPMSM
Title: PRACTICE ADMINISTRATOR
Phone: (903) 753-7291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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