Organization · Type 2 NPI
Twelve52 Wellness Clinic
Primary Care Clinic/Center · Longview, TX
NPI number
1386210441
Active
Practice location
2010 Gilmer Rd Ste 103A
Longview, TX 75604-2545
Mailing address
PO Box 9711
Longview, TX 75608-9711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
| Urgent Care Clinic/Center | 261QU0200X | None listed |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Longview
About NPI 1386210441
Twelve52 Wellness Clinic's National Provider Identifier is 1386210441, issued on May 31, 2021. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Longview, TX. The record was last updated on Sep 17, 2021.