Care First Physicians PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CARE FIRST PHYSICIANS PA

Doing business as

Care First Physicians Letourneau

Practice address

2100 S Mobberly Ave
Longview, TX 75602-3564

Phone

(903) 233-4110

Fax

(972) 367-3451

NPI assigned

Mar 11, 2015

Last updated

Mar 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mouzon Bass III

Title

Agent

Phone

(808) 956-6505

Specialties & licenses 3

Addresses

Other names 1

• Care First Physicians Letourneau Doing business as

Tax ID family

Care First Physicians East Baptist2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Care First Physicians PA

  dba Care First Physicians East Baptist

  • Family Medicine Physician
  • Marshall, TX
  • NPI 1134512411
  NPD tax ID

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1750774030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SPRING VALLEY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443995",
            "telephone_number": "800-555-9073",
            "fax_number": "972-367-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S MOBBERLY AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756023564",
            "telephone_number": "903-233-4110",
            "fax_number": "972-367-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE FIRST PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "MOUZON",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "808-956-6505",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care First Physicians Letourneau",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Michelle Campbell, RNFA
• Scott W Campbell, M.D.
• Kayla Ann Canaguier, PTA
• Gina Marie Caraway, MCD-CCC-SLP
• Traci Cardon
• Careatc
• Carebridge Medteam, LLC
• Richard Lee Carl Jr., APRN, FNP-C
• Carlton W Mitchell LPC (PLLC)
• Adrienne J K Carmack, MD

• Family Medicine Physician in Longview, TX
• Providers in Longview, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.