Venous Laser Center of East Texas
Venous Laser Center of East Texas provides Diagnostic Radiology Physician services in Longview, Texas. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
903 N 4th StLongview, TX 75601-5416
Phone: (903) 753-6500
Fax: (903) 247-0222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X |
|---|
Record details
| NPI number | 1447208103 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerry Keaton — President · (903) 753-6500 |
| NPI enumerated | May 5, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1602 Pine Tree Rd, Suite 3, Longview, TX 75604-3273 |
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