Justin Coleman Hardin (NPI# 1124252796, PAC ID# 9133341894) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1124252796 |
| PAC ID by PECOS | 9133341894 |
| Professional Enrollment ID | I20141112002218 |
| Full Name | Justin Coleman Hardin |
| Organization Legal Name | ASSOCIATED CLINICIANS OF EAST TEXAS |
| Address |
5002 Cowhorn Creek Rd Texarkana TX 75503-9766 |
| Phone Number | 9036143409 |
| Gender | M |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 4789957440 |
| Number of Group Practice Members | 82 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450702 | LONGVIEW REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2901 4th St, Longview, TX 75605-5128 | 9037581818 | ASSOCIATED CLINICIANS OF EAST TEXAS |
| 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 | ASSOCIATED CLINICIANS OF EAST TEXAS | |
| 707 Hollybrook Dr, Longview, TX 75605-2410 | ASSOCIATED CLINICIANS OF EAST TEXAS | |
| 709 Hollybrook Dr, Longview, TX 75605-2412 | ASSOCIATED CLINICIANS OF EAST TEXAS | |
| 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 9036143409 | ASSOCIATED CLINICIANS OF EAST TEXAS |
| Organization Legal Name | ASSOCIATED CLINICIANS OF EAST TEXAS |
| Physicians | 79 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam O Mcdaniel | Internal Medicine | Associated Clinicians of East Texas | 602 Titus St, Suite 100, Gilmer, TX 75644-1796 |
| Robert W Cary Jr. | Family Medicine | Associated Clinicians of East Texas | 805 Medical Dr, Longview, TX 75605-5130 |
| Deborah K Bell | Nurse Practitioner | Associated Clinicians of East Texas | 707 Hollybrook Dr, Longview, TX 75605-2410 |
| John L Wright Jr. | Family Medicine | Associated Clinicians of East Texas | 707 Hollybrook Dr, Longview, TX 75605-2410 |
| Mark A Witt | Podiatry | Associated Clinicians of East Texas | 709 Hollybrook Dr, Suite 3401, Longview, TX 75605-2412 |
| Rajani Ruth Caesar | Neurology | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Jeffrey R. Kemp | Internal Medicine | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Amy Lewis | Nurse Practitioner | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Roger Kiser | Internal Medicine | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Janet E Maffei | Physician Assistant | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Street Address |
5002 COWHORN CREEK RD |
| City | TEXARKANA |
| State | TX |
| Zip | 75503-9766 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura L Jackson | Nurse Practitioner | Collom and Carney Clinic | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 |
| Francis F Lachowsky | Allergy/immunology | Collom and Carney Clinic | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 |
| Heidi R Smith | Nurse Practitioner | Collom and Carney Clinic | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 |
| Jody L Seals | Qualified Audiologist | Collom and Carney Clinic | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 |
| Monica Ellen Townsend | Hospitalist | Collom and Carney Clinic | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 |
| Cheryl Anne Decaprio | Nurse Practitioner | Collom and Carney Clinic | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 |
| Robert James Leach | Nephrology | Collom and Carney Clinic | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 |
| Michele M Crockett | Diagnostic Radiology | Collom and Carney Clinic | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 |
| Rita H Collins | Nurse Practitioner | Collom and Carney Clinic | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 |
| Christina A Payne | Pediatric Medicine | Collom and Carney Clinic | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Henry Pappas | Family Practice | Collom and Carney Clinic | 4110 Richmond Pl, Texarkana, TX 75503-0001 |
| Puifun Lila Pappas | Family Practice | Collom and Carney Clinic | 4110 Richmond Pl, Texarkana, TX 75503-0001 |
| Trevor J Swanson | Chiropractic | Swanson Family Chiropractic P.C. | 4206 Richmond Place, Texarkana, TX 75503-0003 |
| Justin C Jobe | Chiropractic | Swanson Family Chiropractic P.C. | 4206 Richmond Place, Texarkana, TX 75503-0003 |
| Michael C Saldino | Podiatry | 4104 Richmond Mdws, Texarkana, TX 75503-0067 | |
| Chad Allen Jennings | Occupational Therapy | Healthcare Express LLP | 5610 Richmond Rd, Texarkana, TX 75503-0500 |
| Gary Douglas Buckley | Physical Therapy | Healthcare Express LLP | 5610 Richmond Rd, Texarkana, TX 75503-0500 |
| Rachel Ann Grimmett | Physical Therapy | Healthcare Express LLP | 5610 Richmond Rd, Texarkana, TX 75503-0500 |
| Phillip Granville Pace | Family Medicine | C H Wilkinson Physician Network | 3502 Richmond Rd, Texarkana, TX 75503-0705 |
| Priyal Patel | Family Medicine | C H Wilkinson Physician Network | 3502 Richmond Rd, Texarkana, TX 75503-0705 |
| Find all physicians in zip 75503 | |||
| City | TEXARKANA |
| Zip Code | 75503 |
| Specialty | PATHOLOGY |
| City + Specialty | TEXARKANA + PATHOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.