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Premier General And Colorectal Surgery, Pa
Specialist in Shenandoah, Texas
NPI 1760738207

Premier General And Colorectal Surgery, Pa is a Specialist based in Shenandoah, TX. Premier General And Colorectal Surgery, Pa practices in Shenandoah, TX. The NPI Number for Premier General And Colorectal Surgery, Pa is 1760738207 and holds a License No. N3791 (Texas).

The current practice location address for Premier General And Colorectal Surgery, Pa is 129 Vision Park Blvd Ste 212, Shenandoah, TX and can be reached out via phone at 832-303-2922 and via fax at 866-923-1223.

Location: 129 Vision Park Blvd Ste 212, Shenandoah, TX, 77384-3024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760738207
Provider Name
Premier General And Colorectal Surgery, Pa
Credential
Provider Entity Type
Organization
Address
129 Vision Park Blvd Ste 212, Shenandoah, TX, 77384-3024
Phone Number
832-303-2922
Fax Number
866-923-1223
Provider Enumeration Date
08/02/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K0169364 01 DPS
N3791 01 LICENSE
institution
Provider Business Practice Location Address Details
Address
129 Vision Park Blvd Ste 212
City
Shenandoah
State
Texas
Zip
77384-3024
Phone Number
832-303-2922
Fax Number
866-923-1223
person
Provider Business Mailing Address Details
Address
129 Vision Park Blvd Ste 212
City
Shenandoah
State
Texas
Zip
77384-3024
Phone Number
832-303-2922
Fax Number
866-923-1223
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
N3791 (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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