Provider First Line Business Practice Location Address:
LONGVIEW REGIONAL MEDICAL CENTER
Provider Second Line Business Practice Location Address:
2901 NORTH FOURTH STREET
Provider Business Practice Location Address City Name:
LONGVIEW
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-782-2212
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/13/2011