Provider Demographics
NPI:1346871902
Name:LONGVIEW INTERNAL MEDICINE PHYSICIANS PLLC
Entity Type:Organization
Organization Name:LONGVIEW INTERNAL MEDICINE PHYSICIANS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRUNG
Authorized Official - Middle Name:HIEU
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-235-7280
Mailing Address - Street 1:3009 CHASE WOOD WAY
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-2848
Mailing Address - Country:US
Mailing Address - Phone:903-235-7280
Mailing Address - Fax:903-653-4534
Practice Address - Street 1:701 E LOOP 281
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-5006
Practice Address - Country:US
Practice Address - Phone:430-240-4600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-31
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty