Ancor Health Center, PA

NPI #1952946428 in Longview, Texas

Provider Information

NPI Number: 1952946428
Entity Type: Organization
Organization Name: Ancor Health Center, PA
Subpart: Yes (part of a larger organization)
Parent Organization: ANCOR HEALTH CENTER PA
Primary Specialty: Specialist
Enumeration Date: Nov 8, 2019
Last Updated: Nov 14, 2019

Practice Location

Address: 2304 JUDSON RD STE D
City: Longview
State: Texas
ZIP Code: 75605-4675
Phone: (903) 212-6060

Authorized Official

Name: EARLENE COOK
Title: OFFICE MANAGER
Phone: (903) 985-8110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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