Pathways Physician Services PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PATHWAYS PHYSICIAN SERVICES PLLC

Practice address

100 W Hawkins Pkwy Ste 100
Longview, TX 75605-1864

Phone

(903) 291-3401

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Johnny Walton, ADMINISTRATOR

Title

Administrator

Phone

(903) 291-3401

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093879330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W HAWKINS PKWY STE 100",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051864",
            "telephone_number": "903-291-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W HAWKINS PKWY STE 100",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051864",
            "telephone_number": "903-291-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS PHYSICIAN SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-291-3401",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shreya Patel
• Virag Patel, DO
• Vishal Jitendra Patel, M.D.
• Pathology Association of Longview PA
• Pathstones Counseling Center
• Casey Patterson, COTA
• Datoya Patterson
• Kristin Renee Patterson, CRNA
• Paul Bradley MD PLLC
• Ivan N Pawlowicz, MD

• Psychiatry Physician in Longview, TX
• Providers in Longview, TX by specialty
• Psychiatry 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.