Individual provider · Type 1 NPI

Tanya Srivastava

Student in an Organized Health Care Education/Training Program · Longview, TX

NPI number 1265266290 Active

Practice location

701 E Marshall Ave, Suite 400
Longview, TX 75601

Call (903) 315-2000 Map

Mailing address

4002 Water View Drive
Longview, TX 75605

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265266290

Tanya Srivastava's National Provider Identifier is 1265266290, issued on Aug 30, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Longview, TX. The record was last updated on May 6, 2025.