institution
Shenandoah Tx Endoscopy Asc Llc
Ambulatory Surgical Clinic/Center in Shenandoah, Texas
NPI 1619065273

Shenandoah Tx Endoscopy Asc Llc is an Ambulatory Surgical Clinic/Center based in Nashville, TX and is specialized in Ambulatory Surgical. Shenandoah Tx Endoscopy Asc Llc practices in Shenandoah, TX. The NPI Number for Shenandoah Tx Endoscopy Asc Llc is 1619065273 and holds a License No. 008420 (Texas).

The current practice location address for Shenandoah Tx Endoscopy Asc Llc is 111 Vision Park Blvd Ste 160, Shenandoah, TX and can be reached out via phone at 936-321-8910 and via fax at 936-321-8913.

Location: 111 Vision Park Blvd Ste 160, Shenandoah, TX, 37215-6187
institution
Provider Profile Details
NPI Number
1619065273
Provider Name
Shenandoah Tx Endoscopy Asc Llc
Credential
Provider Entity Type
Organization
Address
111 Vision Park Blvd Ste 160, Shenandoah, TX, 37215-6187
Phone Number
936-321-8910
Fax Number
936-321-8913
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00476562 01 TX RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
111 Vision Park Blvd Ste 160
City
State
Zip
77384-3005
Phone Number
936-321-8910
Fax Number
936-321-8913
person
Provider Business Mailing Address Details
Address
111 Vision Park Blvd Ste 160
City
State
Zip
77384-3005
Phone Number
936-321-8910
Fax Number
936-321-8913
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
008420 (Texas)
Definition
Definition to come...
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