NPI | 1184159055 |
---|---|
Doing Business As | FYZICAL LONGVIEW |
Doing Business As | EAST TEXAS EAR, NOSE, & THROAT |
Entity Type | Organization |
Authorized Contact | SHELBY BROWNE Practice Administrator 903-235-8181 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX N8298) |
Additional Taxonomies | 2080S0012X Pediatrics, Sleep Medicine (Licence: TX N9215) |
Enumeration Date | 2017-04-27 |
Last Update Date | 2021-11-30 |