Organization · Type 2 NPI
The903np
Primary Care Nurse Practitioner · Longview, TX
NPI number
1669299889
Active
Practice location
2828 4th St # 100
Longview, TX 75605-5718
Fax (903) 213-9045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1669299889
The903np's National Provider Identifier is 1669299889, issued on Sep 20, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Longview, TX. The record was last updated on Nov 23, 2025.