Shenandoah Tx Endoscopy Asc LLC
NPI #1316179963 in Shenandoah, Texas
Provider Information
- NPI Number
- 1316179963
- Entity Type
- Organization
- Organization Name
- Shenandoah Tx Endoscopy Asc LLC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Aug 17, 2009
- Last Updated
- Sep 7, 2023
Practice Location
- Address
- 111 VISION PARK BLVD
- Address 2
- SUITE 160
- City
- Shenandoah
- State
- Texas
- ZIP Code
- 77384-3002
- Phone
- (936) 321-8910
Authorized Official
- Name
- MR. PHILLIP A CLENDENIN
- Title
- PRESIDENT
- Phone
- (615) 665-1283
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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