Christus Good Shepherd Medical Center

NPI #1407356561 in Longview, Texas

Provider Information

NPI Number
1407356561
Entity Type
Organization
Organization Name
Christus Good Shepherd Medical Center
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Feb 15, 2018
Last Updated
Feb 15, 2018

Practice Location

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

Authorized Official

Name
NORMAN TODD HANCOCK
Title
PRESIDENT/CEO
Phone
(903) 315-1811

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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