Organization
CENTRAL TEXAS AMBULATORY ENDOSCOPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE LYNN ANDERS (ADMINISTRATIVE ASST.)
(512) 754-8676
Entity
Organization
Contact information
Practice address
1305 WONDER WORLD DR, SUITE 105, SAN MARCOS, TX 78666-7546
(512) 754-8676
(512) 754-8680
Mailing address
1305 WONDER WORLD DR, SUITE 105, SAN MARCOS, TX 78666-7546
(512) 754-8676
(512) 754-8680
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
000385
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087945401
—
TX
Enumeration date
09/08/2005
Last updated
10/17/2007
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