Provider Type Icon

PREMIER PEDIATRICS NPI 1043355449


NPI Information

NPI: 1043355449
Provider Name: PREMIER PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D2280237

Address:
705 E MARSHALL AVE
SUITE 1002
LONGVIEW, TX
ZIP 75601
Phone: (903) 247-7700
Get Directions

PREMIER PEDIATRICS is a pediatrics in Longview, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PREMIER PEDIATRICS NPI is 1043355449. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

705 E MARSHALL AVE
SUITE 1002
LONGVIEW, TX
ZIP 75601-563
Phone: (903) 247-7700
Fax: (903) 238-9185

The provider's authorized official is Kae Mccrory .
The authorized official title is Cfo and has the following contact phone number (903) 247-7700.

The CLIA number assigned to this NPI record is 45D2280237 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 8/22/2020.


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
1208000000XPediatricsK1253TEXASYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.