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Evergreen Neurosurgery Center, Pllc
Specialist in Shenandoah, Texas
NPI 1285074047

Evergreen Neurosurgery Center, Pllc is a Specialist based in Spring, TX. Evergreen Neurosurgery Center, Pllc practices in Shenandoah, TX. The NPI Number for Evergreen Neurosurgery Center, Pllc is 1285074047 and holds a License No. N6643 (Texas).

The current practice location address for Evergreen Neurosurgery Center, Pllc is 111 Vision Park Blvd Ste 260, Shenandoah, TX and can be reached out via phone at 281-719-9681 and via fax at 281-791-0059.

Location: 111 Vision Park Blvd Ste 260, Shenandoah, TX, 77393-0070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285074047
Provider Name
Evergreen Neurosurgery Center, Pllc
Credential
Provider Entity Type
Organization
Address
111 Vision Park Blvd Ste 260, Shenandoah, TX, 77393-0070
Phone Number
281-719-9681
Fax Number
281-791-0059
Provider Enumeration Date
06/26/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
N6643 01 TX LICENSE
institution
Provider Business Practice Location Address Details
Address
111 Vision Park Blvd Ste 260
City
Shenandoah
State
Texas
Zip
77384
Phone Number
281-719-9681
Fax Number
281-791-0059
person
Provider Business Mailing Address Details
Address
111 Vision Park Blvd Ste 260
City
Shenandoah
State
Texas
Zip
77384
Phone Number
281-719-9681
Fax Number
281-791-0059
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
N6643 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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