Organization
OLD TOWN ENDOSCOPY CENTER LLC
Active
Other names
Digestive Health Center of Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
9500 N CENTRAL EXPY STE 200, DALLAS, TX 75231-5128
(214) 739-9544
(214) 739-9582
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 665-1283
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
000402
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087952001
—
TX
01
—
HH1244
BCBSTX
TX
Enumeration date
03/15/2006
Last updated
11/23/2022
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