SPECIAL HEALTH RESOURCES FOR TEXAS INCORPORATED (NPI# 1750769238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750769238 |
| Entity Type | Organization |
| Organization Name | SPECIAL HEALTH RESOURCES FOR TEXAS INCORPORATED |
| Other Organization Name | MED PLAZA |
| Practice Address |
703 E Marshall Ave Suite 310 Longview TX 75601-5500 |
| Mailing Address |
Po Box 2709 Longview TX 75606-2709 |
| Practice Telephone | 6032348611 |
| Practice Fax Number | 9037582283 |
| Mailing Telephone | 9032340776 |
| Mailing Fax Number | 9032349769 |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2015-08-18 |
| Authorized Official Name | MR. KIM NESVIG (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9032340776 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECIAL HEALTH RESOURCES FOR TEXAS INCORPORATED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MED PLAZA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831661412 | Special Health Resources for Texas Incorporated | Clinic/Center | 1911 Galleria Oaks Dr, Texarkana, TX 75503-4617 | 2018-12-20 |
| 1891280277 | Special Health Resources for Texas Incorporated | Clinic/Center | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2018-06-27 |
| 1982198057 | Special Health Resources for Texas Incorporated | Clinic/Center | 825 Medical Dr, Tyler, TX 75701-2143 | 2018-06-21 |
| 1326460858 | Special Health Resources for Texas Incorporated | Clinic/Center | 1102 Main St, Texarkana, TX 75501-4313 | 2014-01-17 |
| 1609298132 | Special Health Resources for Texas Incorporated | Clinic/Center | 1300 Clinic Dr, Tyler, TX 75701-2119 | 2014-01-17 |
| Street Address |
703 E MARSHALL AVE SUITE 310 |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853732 | Gary R Jacobs | Surgery | 703 E Marshall Ave, #4008, Longview, TX 75601-5500 | 2005-07-01 |
| 1568011336 | Jamie Dawn Graves | Nurse Practitioner | 703 E Marshall Ave, Longview, TX 75601-5500 | 2019-09-05 |
| 1831562834 | Dana Johnson | Nurse Practitioner | 703 E Marshall Ave, Suite 5007, Longview, TX 75601-5500 | 2015-11-12 |
| 1588034128 | Carrie Judd | Nurse Practitioner | 703 E Marshall Ave, Suite 1001, Longview, TX 75601-5500 | 2015-09-25 |
| 1588074082 | Horachel Jones | Nurse Practitioner | 703 E Marshall Ave, Suite 5008, Longview, TX 75601-5500 | 2014-05-06 |
| 1710238514 | Sai Soumya S. Kota | Internal Medicine | 703 E Marshall Ave, Suite 1001, Longview, TX 75601-5500 | 2012-09-20 |
| 1528323953 | Khashayar Kash Vahdat | Internal Medicine | 703 E Marshall Ave, Suite 5008, Longview, TX 75601-5500 | 2012-07-11 |
| 1942573381 | Good Shepherd Surgical Associates, Pllc | Surgery | 703 E Marshall Ave, Suite 3000, Longview, TX 75601-5500 | 2012-02-15 |
| 1699085563 | Cr Martin M D P A | Internal Medicine | 703 E Marshall Ave, Suite 3008, Longview, TX 75601-5500 | 2010-10-13 |
| 1821327966 | Nicole Deann Francis | Nurse Practitioner | 703 E Marshall Ave, Ste 3008, Longview, TX 75601-5500 | 2009-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
| 1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
| 1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
| 1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
| 1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
| 1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
| 1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
| 1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
| 1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
| 1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
| Find all providers in zip 75601 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518486380 | Longview Wellness Center Inc | Clinic/Center | 1107 E Marshall Ave Bldg 2, Longview, TX 75601-5602 | 2017-09-13 |
| 1417476284 | Longview Wellness Center Inc | Clinic/Center | 1107 E Marshall Ave Bldg 3, Longview, TX 75601-5602 | 2017-09-13 |
| 1770122681 | Longview Wellness Center, Inc. | Clinic/Center | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2019-12-26 |
| 1891280277 | Special Health Resources for Texas Incorporated | Clinic/Center | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2018-06-27 |
| 1740783620 | Special Health Resources for Texas, Incorporated | Clinic/Center | 1300 N 6th St, Longview, TX 75601-5567 | 2018-03-16 |
| 1922556067 | Special Health Resources for Texas, Inc | Clinic/Center | 402 N 7th St, Longview, TX 75601-6704 | 2016-09-19 |
| 1669872560 | East Texas Border Health Clinic | Clinic/Center | 2131 S Mobberly Ave, Longview, TX 75602-3563 | 2014-08-27 |
| 1184824203 | Cowlitz Family Health Center | Clinic/Center | 1057 12th Ave, Longview, WA 98632-2509 | 2007-07-18 |
| 1700086824 | Cowlitz Family Health Center | Clinic/Center | 1057 12th Ave, Longview, WA 98632-2509 | 2007-07-18 |
| 1073711081 | Cowlitz Family Health Center | Clinic/Center | 1057 12th Ave, Longview, WA 98632-2509 | 2007-07-11 |
| Find all providers in LONGVIEW | ||||
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| 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.