institution
Good Shepherd Ambulatory Surgical Center Ltd
Ambulatory Surgical Clinic/Center in Longview, Texas
NPI 1255317384

Good Shepherd Ambulatory Surgical Center Ltd is an Ambulatory Surgical Clinic/Center based in Longview, TX and is specialized in Ambulatory Surgical. Good Shepherd Ambulatory Surgical Center Ltd practices in Longview, TX. The NPI Number for Good Shepherd Ambulatory Surgical Center Ltd is 1255317384 and holds a License No. 7792 (Texas).

The current practice location address for Good Shepherd Ambulatory Surgical Center Ltd is 703 E Marshall Ave, Longview, TX and can be reached out via phone at 903-315-5300 and via fax at 903-315-5301.

Location: 703 E Marshall Ave, Longview, TX, 75601-5500
institution
Provider Profile Details
NPI Number
1255317384
Provider Name
Good Shepherd Ambulatory Surgical Center Ltd
Credential
Provider Entity Type
Organization
Address
703 E Marshall Ave, Longview, TX, 75601-5500
Phone Number
903-315-5300
Fax Number
903-315-5301
Provider Enumeration Date
12/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
122076 01 TX CHIPS/SUPERIOR HEALTH PLA
HH1354 01 TX BCBS OF TEXAS
147239101 05 TX
institution
Provider Business Practice Location Address Details
Address
703 E Marshall Ave
City
State
Zip
75601-5500
Phone Number
903-315-5300
Fax Number
903-315-5301
person
Provider Business Mailing Address Details
Address
703 E Marshall Ave
City
State
Zip
75601-5500
Phone Number
903-315-5300
Fax Number
903-315-5301
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
7792 (Texas)
Definition
Definition to come...
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