NPI age
20 years
Enumerated 2006-05-26
● Active Type 2 · Organization
Shreveport Vamc
Shreveport Vamc is 1 of 106 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Potter
Npi Team Member
Last NPPES update
2017-09-26
Source: monthly bulk 2026-05
How this organization compares
Across 106 active clinic/center providers in Texas.
NPI age
20 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1005 N Eastman Rd
Longview, TX 756014231
Mailing address
Po Box 94538
Cleveland, OH 44101
Authorized official
Erin Potter
Npi Team Member
📞 2023822579
Individual providers at this organization
12 individual providers on file at this primary practice address.
- Tara Allen Social Worker NPI 1902674294
- Sangita Bista Internal Medicine NPI 1063875904
- Richard Delk, AU.D. Audiologist NPI 1174850788
- Ravikumar Edalur, M.D Family Medicine NPI 1023221413
- Brittany Hess Nutritionist NPI 1780985820
- Susan Hughes, MS, RD, LD Dietitian, Registered NPI 1619471505
- James Lee, NP Nurse Practitioner NPI 1457861148
- Josiah Moulton, D.O. Family Medicine NPI 1942640875
- Joshua Obholz, M.D. Family Medicine NPI 1275972051
- Rozina Parveen, MD Internal Medicine NPI 1487638532
- Thaddeus Stephenson, RKT Kinesiotherapist NPI 1811862600
- Betty Witherspoon, LMSW Social Worker NPI 1205178993
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Longview VA CBOC
Practice context
Multi-provider organization. 12 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.