Good Shepherd Medical Center

NPI #1841521655 in Longview, Texas

Provider Information

NPI Number
1841521655
Entity Type
Organization
Organization Name
Good Shepherd Medical Center
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jan 18, 2010
Last Updated
Jan 19, 2010

Practice Location

Address
718 HOLLYBROOK DR
State
Texas
ZIP Code
75605-2469
Phone
(936) 404-9420

Authorized Official

Name
MR. EDWARD BANOS
Title
CEO
Phone
(903) 315-2000

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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