Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kilgore Life Center

Organization Health Service Clinic/Center · NPI 1093982290

Kilgore Life Center is a Health Service Clinic/Center in Kilgore, Texas. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

1711 S Henderson Blvd Ste 300
Kilgore, TX 75662-3563
Phone: (903) 984-2145
Fax: (903) 984-8361
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1093982290
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPhynet, Inc
Authorized official John Ford — President · (903) 247-0484
Other names Phynet, Inc.
NPI enumeratedMay 15, 2008
Last updated in NPPESSeptember 2, 2025
Certification dateMarch 19, 2025
Mailing address4002 Technology Ctr, Longview, TX 75605-2697