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

Premiere Pediatrics PLLC

Organization Pediatrics Physician · NPI 1124721410

Premiere Pediatrics PLLC is a Pediatrics Physician in Longview, Texas. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

703 E Marshall Ave Ste 4002
Longview, TX 75601-5622
Phone: (903) 315-3966
Fax: (903) 230-0795
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1124721410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha Roworth-Chaikin — Physician Owner · (903) 315-3966
NPI enumeratedMarch 24, 2023
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023
Mailing address703 E Marshall Ave Ste 4002, Longview, TX 75601-5622

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