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Organization
SHILLER SURGERY CENTER, INC
Active
Organization
SHILLER SURGERY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN DALE SHILLER M.D. (PRESIDENT)
(903) 723-1010
Entity
Organization
Contact information
Practice address
3323 S LOOP 256, PALESTINE, TX 75801-6977
(903) 723-1010
Mailing address
3323 S LOOP 256, PALESTINE, TX 75801-6977
(903) 723-1010
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASC006825
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112281402
—
TX
01
—
HH1300
BC/BS
TX
Enumeration date
08/16/2006
Last updated
09/19/2008
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