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Organization

SOUTH SHORE ER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUCHMOR THOMAS MD (OWNER)
(409) 502-7194
Entity
Organization

Contact information

Practice address
3016 MARINA BAY DR, LEAGUE CITY, TX 77573-2768
(409) 502-7194
Mailing address
3016 MARINA BAY DR, LEAGUE CITY, TX 77573-2768
(409) 502-7194

Taxonomy

Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary

Other

Enumeration date
09/17/2021
Last updated
12/29/2021
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