Good Shepherd Ambulatory Surgical Center Ltd

NPI #1255317384 in Longview, Texas

Provider Information

NPI Number
1255317384
Entity Type
Organization
Organization Name
Good Shepherd Ambulatory Surgical Center Ltd
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Dec 20, 2005
Last Updated
May 13, 2009

Practice Location

Address
703 E MARSHALL AVE
Address 2
SUITE 2000
State
Texas
ZIP Code
75601-5500
Phone
(903) 315-5300

Authorized Official

Name
MR. JERRY D ADAIR
Title
PRESIDENT/CEO
Phone
(903) 315-2000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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