Provider Demographics
NPI:1174724587
Name:LONGVIEW REHAB PARTNERS LP
Entity type:Organization
Organization Name:LONGVIEW REHAB PARTNERS LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:COBY
Authorized Official - Last Name:MARROW
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:903-593-9999
Mailing Address - Street 1:100 W HAWKINS PKWY
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-1864
Mailing Address - Country:US
Mailing Address - Phone:903-234-0999
Mailing Address - Fax:903-862-7421
Practice Address - Street 1:100 W HAWKINS PKWY
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-1864
Practice Address - Country:US
Practice Address - Phone:903-234-0999
Practice Address - Fax:903-862-7421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F2340Medicare ID - Type Unspecified