Longview Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M6080 Issued in TX

Legal business name

LONGVIEW PEDIATRICS, PLLC

Practice address

1009 N 4TH St Ste B
Longview, TX 75601-4768

Phone

(903) 212-4330

Fax

(903) 212-4333

NPI assigned

Apr 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Eric Chen, MD

Title

MD

Phone

(903) 212-4330

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1407199664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N 4TH ST STE B",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756014768",
            "telephone_number": "903-212-4330",
            "fax_number": "903-212-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N 4TH ST STE B",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756014768",
            "telephone_number": "903-212-4330",
            "fax_number": "903-212-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGVIEW PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "903-212-4330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M6080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107539205",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107539204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Longview Medical Center LP
• Longview Ophthalmology Associates, PLLC
• Longview Orthopaedic Clinic Association
• Longview Outpatient Physical Therapy LLC
• Longview Outpatient Physical Therapy LLC
• Longview Physicians Surgical Center
• Longview Primary Care PLLC
• Longview Professional Assistance
• Longview Psychiatric Center PLLC
• Longview Recovery LLC

• All providers in Longview, TX
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.