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Organization
CENTRAL TEXAS ENDOSCOPY CENTER LLC
Active
Organization
CENTRAL TEXAS ENDOSCOPY CENTER LLC
Active
Other names
Central Texas Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
2206 E. VILLA MARIA, BRYAN, TX 77802-2547
(979) 774-4211
(979) 774-2822
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 665-1283
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007156
TX
261QA1903X
Ambulatory Surgical Clinic/Center
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0879793-01
—
TX
05
—
087979301
—
TX
01
—
490004647
MEDICARE RAILROAD
TX
01
—
HH1520
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/27/2006
Last updated
11/22/2022
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