South Shore Er LLC
NPI #1912677295 in League City, Texas
Provider Information
- NPI Number
- 1912677295
- Entity Type
- Organization
- Organization Name
- South Shore Er LLC
- Primary Specialty
- Clinic/Center - Emergency Care
- Enumeration Date
- Sep 17, 2021
- Last Updated
- Dec 29, 2021
Practice Location
- Address
- 3016 MARINA BAY DR
- City
- League City
- State
- Texas
- ZIP Code
- 77573-2768
- Phone
- (409) 502-7194
Authorized Official
- Name
- SUCHMOR THOMAS, MD
- Title
- OWNER
- Phone
- (409) 502-7194
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Emergency Care — Emergency Care |
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