Organization
EPCP PROCEDURE SUITES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHOUNG PHAN MD (OWNER)
(281) 292-7411
Entity
Organization
Contact information
Practice address
250 ED ENGLISH DR STE D, SHENANDOAH, TX 77385-8019
(281) 292-7411
(281) 292-7481
Mailing address
250 ED ENGLISH DR STE D, SHENANDOAH, TX 77385-8019
(281) 292-7411
(281) 292-7481
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
M3691
TX
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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