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Organization

PREVA ADVANCED SURGICARE, THE WOODLANDS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HUGH SHANNONHOUSE (CEO)
(713) 454-7900
Entity
Organization

Contact information

Practice address
26710 INTERSTATE 45 N STE B100, SPRING, TX 77386-1019
(281) 419-1117
Mailing address
PO BOX 2727, CONROE, TX 77305-2727

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
10/09/2018
Last updated
10/09/2018
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