Good Shepherd Surgical Associates, Pllc

NPI #1942573381 in Longview, Texas

Provider Information

NPI Number: 1942573381
Entity Type: Organization
Organization Name: Good Shepherd Surgical Associates, Pllc
Primary Specialty: Surgery
Enumeration Date: Feb 15, 2012
Last Updated: Apr 13, 2015

Practice Location

Address: 703 E MARSHALL AVE
Address 2: SUITE 3000
City: Longview
State: Texas
ZIP Code: 75601-5500
Phone: (903) 315-4400

Authorized Official

Name: KRISTINE GLOVER
Title: EVP/COO
Phone: (903) 315-5704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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