C-TRILOGY COMPREHENSIVE CLINICAL CARE


Address: 104 Rothrock Dr, Suite A, Longview, TX 75602-1528
Phone: 9035762629

C-TRILOGY COMPREHENSIVE CLINICAL CARE (NPI# 1730554999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730554999
Entity Type Organization
Organization Name C-TRILOGY COMPREHENSIVE CLINICAL CARE
Practice Address 104 Rothrock Dr
Suite A
Longview
TX 75602-1528
Practice Telephone 9035762629
Mailing Telephone 9035762629
Enumeration Date 2015-12-14
Last Update Date 2015-12-15
Authorized Official Name TRACY HICKS (OWNER)
Authorized Official Telephone 9035762629
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0808X Clinical Nurse Specialist
Specialization: Psych/Mental Health
AP125290 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 084816001 05

Office Location

Street Address 104 ROTHROCK DR
SUITE A
City LONGVIEW
State TX
Zip Code 75602-1528

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NPI Name Taxonomy Address Enumeration
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1063748796 Jeffery Michael Stowers Pharmacist 1900 S High St, Longview, TX 75602 2009-10-31
1326541368 Tonie Elaine Bryant Licensed Vocational Nurse 1006 Flanagan Dr, Longview, TX 75602-1013 2018-03-15
1285145839 Maria Tran Specialist/Technologist 16 Covington Dr, Longview, TX 75602-1071 2017-10-21
1639635444 G and T Young At Heart Counselor 1012 E Cotton St, Longview, TX 75602-1322 2019-02-17
1982020038 Julie A Dollison Perfusionist 301 S Club Dr, Longview, TX 75602-1511 2014-03-13
1881009231 Brandi Mccracken Specialist/Technologist, Other 301 S Club Dr, Longview, TX 75602-1511 2014-06-24
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Taxonomy Information

Taxonomy Code 364SP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972937316 Tricia G. Green Clinical Nurse Specialist 907 Kincaid Pl, Longview, TX 75604 2013-08-21
1801300165 Laurie Ann Womack Clinical Nurse Specialist 1615 Delaware St, Longview, WA 98632-2367 2017-11-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1710384631 Mental Health Professionals of San Antonio Clinical Nurse Specialist 1703 N Loop 1604 W Apt 1203, San Antonio, TX 78258-4679 2014-11-20
1801185301 Horizon Senior Care Inc Clinical Nurse Specialist 229 Bradfield Ln, Rockwall, TX 75087-9272 2011-04-05
1518264696 Abigail E Lopez Clinical Nurse Specialist 4225 Camelot Heights Dr., El Paso, TX 79912-2702 2011-02-25
1558506675 Lynn Veronica Heselton Clinical Nurse Specialist 203 Lorine St, Keller, TX 76248-3434 2008-12-03
1851558266 Alfredo Arellano Clinical Nurse Specialist 1122 Montana Ave Ste A, El Paso, TX 79902-5510 2008-05-22
1881870244 Steffani L Powell Clinical Nurse Specialist 100 Bunny Run Ln, Horseshoe Bay, TX 78657-6188 2008-01-16
1841481595 Judith Elaine Wessely Clinical Nurse Specialist 27115 Trinity Hts, Apt 1025, San Antonio, TX 78261-2430 2007-08-07
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Competitor

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City LONGVIEW
Zip Code 75602

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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