Search › Texas › 363LA2100X

Dusty Hane, AGACNP

NPI 1194353730 · on the registry since 2020 · sole proprietor

Practice

Address
Diagnostic Clinic Of Longview
2901 N Fourth St
Longview, TX 75605
Phone
(903) 758-1818

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Also registered as
363LG0600X
363L00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas