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Organization
SHENANDOAH TX ENDOSCOPY ASC LLC
Active
Organization
SHENANDOAH TX ENDOSCOPY ASC LLC
Active
Other names
Woodlands Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP A CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
111 VISION PARK BLVD, SUITE 160, SHENANDOAH, TX 77384-3002
(936) 321-8910
(936) 321-8913
Mailing address
20 BURTON HILLS BLVD, SUITE 500, NASHVILLE, TN 37215-6197
(615) 240-3720
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8F33698
CRNA DANA FISHER
TX
01
—
8F33699
CRNA ESTHER SCOGGIN
TX
01
—
8F33700
CRNA JULIA MARTIN
TX
01
—
8F33701
CRNA DUANE RIEGEL
TX
01
—
8L21238
CRNA ROTH OWEN
—
01
—
8L22270
CRNA BRENDA MCCALL
TX
01
—
8L22271
CRNA SANDRA LENHART
TX
01
—
8L22350
CRNA JAMES MATTINGLY
TX
01
—
8L25451
CRNA GLYNN COOPER
TX
01
—
8L26184
CRNA JAMES BODOH
TX
Enumeration date
08/17/2009
Last updated
09/07/2023
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