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Diagnostic Clinic of Longview PA

Internal Medicine Physician in Longview, TX · enumerated 2005 · authorized official Dora Reeves, Credentialing Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1386638468

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Registry record

Entity type Organization (Type 2)
Legal business name Diagnostic Clinic of Longview PA
Practice address 707 Hollybrook Dr, Longview, TX, 75605
Phone (903) 757-6042
Fax (903) 232-8226
Enumeration date Sep 6, 2005
Last updated in NPPES Feb 5, 2009

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary
207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians Secondary
207RI0200X Infectious Disease Physician Allopathic & Osteopathic Physicians Secondary
207RS0012X Sleep Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207UN0901X Nuclear Cardiology Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

Authorized official

Name Dora Reeves
Title Credentialing Coordinator
Phone (903) 291-6062

Other identifiers

Identifier Type State Issuer
130964306 Medicaid TX -
130964302 Medicaid TX -
45D0482673 Other TX DME RR MEDICARE
130964307 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Diagnostic Clinic of Longview PA?
The NPI for Diagnostic Clinic of Longview PA is 1386638468, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Diagnostic Clinic of Longview PA?
NPPES lists Dora Reeves (Credentialing Coordinator) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-02-05.