Texas Spine & Joint Hospital Longview Clinic

NPI #1619274776 in Longview, Texas

Provider Information

NPI Number: 1619274776
Entity Type: Organization
Organization Name: Texas Spine & Joint Hospital Longview Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: TEXAS SPINE & JOINT HOSPITAL, LLC
Primary Specialty: Clinic/Center
Enumeration Date: Feb 24, 2011
Last Updated: Sep 23, 2020

Practice Location

Address: 725 N 4TH ST
City: Longview
State: Texas
ZIP Code: 75601-5412
Phone: (903) 525-3422

Authorized Official

Name: JENETHA D MORAN
Title: OFFICER / AUTHORIZED OFFICIAL
Phone: (972) 763-3893

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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