GOOD SHEPHERD AMBULATORY SURGICAL CENTER LTD
Surgery Yellow Pages
Longview, Texas
Provider NPI: 1255317384
Organization Information:Organization Name: GOOD SHEPHERD AMBULATORY SURGICAL CENTER LTD
Practice Location:
703 E MARSHALL AVE SUITE 2000 LONGVIEW, TX 75601 US
Tel: 903-315-5300 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
703 E MARSHALL AVE SUITE 2000 LONGVIEW, TX 75601 US
Tel: 903-315-5300 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | TX | 7792 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
CHIPS/SUPERIOR HEALTH PLA | 122076 | TX | 01 |
147239101 | TX | 05 | |
BCBS OF TEXAS | HH1354 | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin