Organization Active NPI

Texas Physician Services, PLLC

  • Internal Medicine Physician
  • Longview, TX
National Provider Identifier
1912595018
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TEXAS PHYSICIAN SERVICES, PLLC
Practice address
802 Medical Cir Ste 200
Longview, TX 75605-5201
Phone
(903) 720-6605
Fax
(866) 842-1649
NPI assigned
Jan 5, 2021
Last updated
Sep 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Kenneth McClure, MDNPI 1770550311
Title
Owner/Provider
Phone
(903) 720-6605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

802 Medical Cir Ste 200
Longview, TX 75605-5201

Mailing address

PO Box 10298
Longview, TX 75608-0298
Phone (903) 720-6605

Other identifiers 1

IdentifierTypeStateIssuer
L7479OtherTXMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 866-842-1649 Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1912595018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10298",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756080298",
            "telephone_number": "903-720-6605",
            "fax_number": "866-842-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MEDICAL CIR STE 200",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055201",
            "telephone_number": "903-720-6605",
            "fax_number": "866-842-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PHYSICIAN SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "903-720-6605",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "L7479",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "866-842-1649",
            "affiliation": "N",
            "endpointDescription": "SECURE FAX",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "615 Clinic Dr",
            "city": "Longview",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756055172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.