SPECIAL HEALTH RESOURCES FOR TEXAS INC. NPI 1750769238

NPI Information

NPI: 1750769238
Provider Name: SPECIAL HEALTH RESOURCES FOR TEXAS, INC.

Doing Business As: MED PLAZA

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
703 E MARSHALL AVE
SUITE 310
LONGVIEW, TX
ZIP 75601
Phone: (603) 234-8611
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SPECIAL HEALTH RESOURCES FOR TEXAS, INC. is a federally qualified health center (fqhc) clinic center in Longview, TX. SPECIAL HEALTH RESOURCES FOR TEXAS, INC. NPI is 1750769238. The provider is registered as an organization entity type.
The provider Is Doing Business As Med Plaza.

The provider's business location address is:

703 E MARSHALL AVE
SUITE 310
LONGVIEW, TX
ZIP 75601-500
Phone: (603) 234-8611
Fax: (903) 758-2283

The provider's authorized official is Kim Nesvig .
The authorized official title is Executive Director and has the following contact phone number (903) 234-0776.

The enumeration date for this NPI number is 5/15/2015 and was last updated on 1/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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