East Texas Phc, LLC

NPI #1558564336 in Longview, Texas

Provider Information

NPI Number: 1558564336
Entity Type: Organization
Organization Name: East Texas Phc, LLC
Primary Specialty: Home Health
Enumeration Date: Jun 7, 2007
Last Updated: Jul 29, 2024

Practice Location

Address: 602 E WHALEY ST
City: Longview
State: Texas
ZIP Code: 75601-6525
Phone: (903) 753-2273

Authorized Official

Name: TRACIE JONES
Title: ADMINISTRATOR
Phone: (903) 753-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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