Search › Texas › 207QS0010X
Jack Runnels, DO
NPI 1710627617 · on the registry since 2022 · sole proprietor
Practice
- Address
- 3133 Good Shepherd Way
Longview, TX 75605 - Phone
- (903) 323-6500
- Fax
- (903) 315-4699
- Clinicians at this address
- 15
Additional practice sites
- 5651 Poplar Tent Rd Ste 102, Concord, NC
Registry record
- Primary taxonomy
- 207QS0010X
207QS0010X
- Also registered as
- 207QS0010X
- Licence states on file
- TX, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-02
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