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Organization
GOOD SHEPHERD MEDICAL CENTER
Active
Organization
GOOD SHEPHERD MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD BANOS (CEO)
(903) 315-2000
Entity
Organization
Contact information
Practice address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-2000
Mailing address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-2000
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
TX
Other
Enumeration date
03/01/2007
Last updated
02/08/2010
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