Premier Pediatrics

Pediatrics Physician · Longview, TX

Organization Active NPI

NPI number 1043355449

Practice location

705 E Marshall Ave
Suite 1002
Longview, TX 75601-5563
Phone
(903) 247-7700
Fax
(903) 238-9185

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NPI record

NPI
1043355449
Entity type
Organization (Type 2)
Enumeration date
February 21, 2007
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X K1253 TX

Authorized official

Name
Dr. Kae McCrory, DO
Title
CFO
Phone
(903) 247-7700

About Premier Pediatrics

Premier Pediatrics is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 705 E Marshall Ave, Suite 1002, Longview, TX 75601-5563. The NPI number 1043355449 was assigned on February 21, 2007 and the record was last updated on August 22, 2020.

Premier Pediatrics lists a license in the registry: #K1253 (TX) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Kae McCrory, DO, CFO.

Frequently asked questions

What is the NPI number of Premier Pediatrics?

The NPI number is 1043355449.

What is the phone number of Premier Pediatrics?

The phone number listed for the practice location is (903) 247-7700.

Where is Premier Pediatrics located?

705 E Marshall Ave, Suite 1002, Longview, TX 75601-5563.

What is the taxonomy code for Premier Pediatrics?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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