# LION STAR NACOGDOCHES HOSPITAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nacogdoches Memorial Hospital Day Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265181416
- **Authorized official:** RHONDA MCCABE (CFO)
- **Authorized official phone:** (936) 568-8525

## Contact information

- **Practice address:** 1204 N MOUND ST, NACOGDOCHES, TX 75961-4027
- **Practice address phone:** (936) 564-4611
- **Mailing address:** 1204 N MOUND ST, NACOGDOCHES, TX 75961-4027
- **Mailing address phone:** (936) 564-4611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/23/2022
- **Last updated:** 03/23/2022