Venous Laser Center of East Texas

NPI #1447208103 in Longview, Texas

Provider Information

NPI Number
1447208103
Entity Type
Organization
Organization Name
Venous Laser Center of East Texas
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
May 5, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
903 N 4TH ST
State
Texas
ZIP Code
75601-5416
Phone
(903) 753-6500

Authorized Official

Name
JERRY KEATON, MD
Title
PRESIDENT
Phone
(903) 753-6500

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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