Organization
TEXAS MIDWEST SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON E COOKE M.D. (BOARD MEMBER)
(325) 672-4372
Entity
Organization
Contact information
Practice address
751 N 18TH ST, ABILENE, TX 79601-3017
(325) 677-6555
(325) 677-6976
Mailing address
751 N 18TH ST, ABILENE, TX 79601-3017
(325) 677-6555
(325) 677-6976
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007182
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087982701
—
TX
Enumeration date
08/09/2005
Last updated
06/23/2014
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