Organization
CHRISTUS GOOD SHEPHERD MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN TODD HANCOCK (PRESIDENT/CEO)
(903) 315-1811
Entity
Organization
Contact information
Practice address
703 E MARSHALL AVE STE 2000, LONGVIEW, TX 75601-5500
(903) 315-5300
Mailing address
811 S WASHINGTON AVE, MARSHALL, TX 75670-5336
(903) 927-6000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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