Organization Name: | LONGVIEW ORTHOPAEDIC CLINIC ASSOCIATION |
NPI Number: | 1053476259 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CALVIN WEBB (ADMINISTRATOR) |
Mailing Address: | 323 E Hawkins Pkwy Ste A Longview |
State: | TX US |
Postal Code: | 756057905 |
Phone Number: | 9037582746 |
Fax Number: | 9037587127 |
NPI Enumeration Date: | 12/27/2006 |
NPI Last Update Date: | 05/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0822150001 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |