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

Regional Clinics of Longview

Organization Allergy & Immunology Physician · NPI 1407047863

Regional Clinics of Longview is an Allergy & Immunology Physician in Longview, Texas. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
15

Practice location Address checks out

709 Hollybrook Dr Ste 2301
Longview, TX 75605-2412
Phone: (903) 757-5804
Fax: (903) 232-2888
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Allergy & Immunology Physician Taxonomy 207K00000X
Emergency Medicine Physician Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Gastroenterology Physician Taxonomy 207RG0100X
Interventional Cardiology Physician Taxonomy 207RI0011X
Pulmonary Disease Physician Taxonomy 207RP1001X
Gynecology Physician Taxonomy 207VG0400X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Otolaryngology Physician Taxonomy 207Y00000X
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X
Pediatrics Physician Taxonomy 208000000X
Urology Physician Taxonomy 208800000X

Record details

NPI number1407047863
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Jackson — Senior Director Prov Enrollment · (615) 465-3334
NPI enumeratedAugust 9, 2007
Last updated in NPPESApril 21, 2022
Certification dateApril 21, 2022
Mailing addressPo Box 689022, Franklin, TN 37068-9022

Other providers in Longview