Premier Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K1253 Issued in TX

Legal business name

PREMIER PEDIATRICS

Practice address

705 E Marshall Ave
Suite 1002
Longview, TX 75601-5563

Phone

(903) 247-7700

Fax

(903) 238-9185

NPI assigned

Feb 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kae McCrory, DO

Title

Cfo

Phone

(903) 247-7700

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043355449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E MARSHALL AVE",
            "address_2": "SUITE 1002",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015563",
            "telephone_number": "903-247-7700",
            "fax_number": "903-238-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E MARSHALL AVE",
            "address_2": "SUITE 1002",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015563",
            "telephone_number": "903-247-7700",
            "fax_number": "903-238-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCRORY",
        "authorized_official_first_name": "KAE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "903-247-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K1253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pradus Diagnostic Solutions LLC
• Anne Elizabeth Pratt, PA-C
• Precious Hand'S
• Precision Assistiants PLLC
• Precision Hearing Group Inc.
• Premiere Pediatrics PLLC
• Prestige Imaging, LLC
• Clinton Conell Price, M.D.
• Prime Care Hospice LLC
• Prime Care Managers, LLC

• Pediatrics Physician in Longview, TX
• Providers in Longview, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.