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Organization

KEYSTONE OUTPATIENT SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS OSWALD SHANNON MD (GENERAL MANAGER)
(936) 321-4345
Entity
Organization

Contact information

Practice address
3115 COLLEGE PARK DR, SUITE101, THE WOODLANDS, TX 77384-4000
(936) 321-4345
(936) 321-4353
Mailing address
3115 COLLEGE PARK DR, SUITE101, THE WOODLANDS, TX 77384-4000
(936) 321-4345
(936) 321-4353

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
8543
TX

Other

Enumeration date
09/18/2007
Last updated
09/18/2007
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