ProviderBusinessMailingAddressFaxNumber = '9033236564'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1114243037 | BLOYD | DOUG | | | 312 E. HILLCREST | WHITE OAK | TX | 75693 |
| 1336445600 | COPELAND | TARA | DENE | | 611 E HAWKINS PKWY | LONGVIEW | TX | 756057977 |
| 1265738579 | ECHAVE | MYRA | TAN | | 700 E MARSHALL AVE | LONGVIEW | TX | 756015580 |
| 1003191735 | FREDERICKS | KRISTEL | JUNE | | 3133 GOOD SHEPHERD WAY | LONGVIEW | TX | 756057921 |
| 1033379185 | HALE | STEPHANIE | ANN | | 280 KAYLA LN | LONGVIEW | TX | 756027619 |
| 1881982569 | MCLAIN | MEREDITH | | | 3133 GOOD SHEPHERD WAY | LONGVIEW | TX | 756057921 |
| 1649418914 | STEPHENS | CELESTE | | | 3133 GOOD SHEPHERD WAY | LONGVIEW | TX | 756053674 |
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