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Organization
OLD TOWN ENDOSCOPY CENTER LLC
Active
Organization
OLD TOWN ENDOSCOPY CENTER LLC
Active
Other names
Digestive Health Center of Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
9500 N CENTRAL EXPY STE 200, DALLAS, TX 75231-5128
(214) 739-9544
(214) 739-9582
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 665-1283
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
000402
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087952001
—
TX
01
—
HH1244
BCBSTX
TX
Enumeration date
03/15/2006
Last updated
11/23/2022
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