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East Texas Urology, Pllc
Specialist in Longview, Texas
NPI 1154400265

East Texas Urology, Pllc is a Specialist based in Longview, TX. East Texas Urology, Pllc practices in Longview, TX. The NPI Number for East Texas Urology, Pllc is 1154400265 and holds a License No. (Texas).

The current practice location address for East Texas Urology, Pllc is 703 E Marshall Ave, Longview, TX and can be reached out via phone at 903-757-7871 and via fax at 903-753-2479.

Location: 703 E Marshall Ave, Longview, TX, 75601-5500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154400265
Provider Name
East Texas Urology, Pllc
Credential
Provider Entity Type
Organization
Address
703 E Marshall Ave, Longview, TX, 75601-5500
Phone Number
903-757-7871
Fax Number
903-753-2479
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
703 E Marshall Ave
City
Longview
State
Texas
Zip
75601-5500
Phone Number
903-757-7871
Fax Number
903-753-2479
person
Provider Business Mailing Address Details
Address
703 E Marshall Ave
City
Longview
State
Texas
Zip
75601-5500
Phone Number
903-757-7871
Fax Number
903-753-2479
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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