Organization
TGLP, LP
Active
Other names
The Endoscopy Center of Texarkana
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY H POWELL (ADMINISTRATOR)
(903) 792-8030
Entity
Organization
Contact information
Practice address
1920 MOORES LN, SUITE B, TEXARKANA, TX 75503-4610
(903) 791-8657
(903) 791-8650
Mailing address
1920 MOORES LN, SUITE B, TEXARKANA, TX 75503-4610
(903) 791-8657
(903) 791-8650
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008336
TX
Other
Enumeration date
06/10/2006
Last updated
08/22/2020
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