Community Perfusion Services LLC

NPI #1578982948 in Longview, Texas

Provider Information

NPI Number: 1578982948
Entity Type: Organization
Organization Name: Community Perfusion Services LLC
Primary Specialty: Perfusionist
Enumeration Date: Apr 14, 2014
Last Updated: Apr 14, 2014

Practice Location

Address: 301 S CLUB DR
City: Longview
State: Texas
ZIP Code: 75602-1511
Phone: (903) 234-0744

Authorized Official

Name: SCOTT WATTS, CCP
Title: OWNER
Phone: (903) 234-0744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Perfusionist	242T00000X	Primary

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