Good Shepherd Ambulatory Surgical Center

NPI #1629213079 in Longview, Texas

Provider Information

NPI Number
1629213079
Entity Type
Organization
Organization Name
Good Shepherd Ambulatory Surgical Center
Subpart
Yes (part of a larger organization)
Parent Organization
GSHS ENTERPRISES OPERATING #2, INC.
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Dec 12, 2008
Last Updated
Feb 17, 2015

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. STEVE P. ALTMILLER
Title
PRESIDENT AND CEO
Phone
(903) 315-2000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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