Keystone Surgicenter LLC

NPI #1386199354 in The Woodlands, Texas

Provider Information

NPI Number
1386199354
Entity Type
Organization
Organization Name
Keystone Surgicenter LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Aug 19, 2016
Last Updated
Aug 19, 2016

Practice Location

Address
3115 COLLEGE PARK DR
Address 2
SUITE 101B
State
Texas
ZIP Code
77384
Phone
(936) 321-4345

Authorized Official

Name
MR. THOMAS O SHANNON, M.D.
Title
MEDICAL DIRECTOR
Phone
(936) 321-4345

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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