Organization · Type 2 NPI
Kilgore Life Center
Health Service Clinic/Center · Kilgore, TX
NPI number
1093982290
Active
Practice location
1711 S Henderson Blvd Ste 300
Kilgore, TX 75662-3563
Fax (903) 984-8361
Mailing address
4002 Technology Ctr
Longview, TX 75605-2697
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1093982290
Kilgore Life Center's National Provider Identifier is 1093982290, issued on May 15, 2008. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Kilgore, TX. The record was last updated on Sep 2, 2025.