1St Choice Pediatrics
Organization Active NPI Pediatrics Physician · Longview, TX
NPI 1497179147 · NPPES record last updated Feb 14, 2014
Key facts
- NPI
- 1497179147
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- K1253 (TX)
- Legal business name
- 1ST CHOICE PEDIATRICS
- Practice address
- 1205 N 6TH St
Longview, TX 75601-5539 - Phone
- (903) 230-0235
- Fax
- (903) 230-0242
- NPI assigned
- Feb 14, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Kathleen McCrory, DO
- Title
- Ceo
- Phone
- (903) 230-0235
Practitioners 4
-
Olubukola T Adeyeye, M.D
-
Haley Pool, CPNP-PC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | K1253 | TX | Yes |
Addresses
Primary practice location
1205 N 6TH St
Longview, TX 75601-5539
Mailing address
1205 N 6TH St
Longview, TX 75601-5539
Phone (903) 230-0235
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1292369-04 | Medicaid | TX |
Other providers in Longview, TX
- 1St Choice Residential LLC
- 2020 Icare Longview PLLC
- 7872 Inc.
- 903 Counseling
- A Beautiful You Health Center, LLC
All providers in Longview, TX · Pediatrics Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.