Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215606686 Individual Practitioner Female Practitioner

Edith Mudoh

Nurse Practitioner - Family • Longview, TX

Professional Overview & Biography Verified Profile Summary

Edith Mudoh is a registered healthcare professional specializing in Nurse Practitioner - Family in Longview, TX. Practice services are available at 710 CREPE MYRTLE LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

710 Crepe Myrtle Ln

Longview, TX 756046906

Telephone 8322024820
Associated Practice Facility / Clinic
🏢 Walmart Facility NPI 1346611928

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Longview, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.2 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
146 Specialists

Practicing in Longview, TX (21454 Statewide)

Telehealth Adoption Rate
15.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-09
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License TX 1052581

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Alfred Mudoh

Pharmacist

NPI 1285188714

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 09, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 09, 2021

Registered at 710 CREPE MYRTLE LN, LONGVIEW, TX 756046906 (Tel: 8322024820)

📍
Updated Business Mailing Address September 09, 2021

Registered at 710 CREPE MYRTLE LN, LONGVIEW, TX 756046906 (Tel: 8322024820)

👤
Provider Name / Credentials Updated September 09, 2021

Recorded as EDITH MUDOH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2021

Nurse Practitioner (License #1052581 in TX)

🟢
Initial NPI Registration & Enumeration September 09, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215606686
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2021
Last Update: September 09, 2021
Sole Proprietor: No

Mailing Address

710 Crepe Myrtle Ln

Longview, TX 756046906

Phone: 8322024820

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.