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

Luckycharm Primary Care PLLC

Organization Internal Medicine Physician · NPI 1336935857

Luckycharm Primary Care PLLC is an Internal Medicine Physician in Longview, Texas. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3521 N Fourth St Ste 100
Longview, TX 75605
Phone: (903) 448-2273
Fax: (773) 825-8352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 N High St Ste 21, Longview, TX 75601-5105 — (903) 488-2273

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1336935857
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Uchenne Mbaraonye — Owner · (937) 554-8570
NPI enumeratedApril 21, 2025
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025
Mailing address2309 Gilmer Rd Ste 101, Longview, TX 75604-2133

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