Organization
GOOD SHEPHERD SURGICAL ASSOCIATES, PLLC
Active
Other names
GSPS GENERAL SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE GLOVER (EVP/COO)
(903) 315-5704
Entity
Organization
Contact information
Practice address
703 E MARSHALL AVE, SUITE 3000, LONGVIEW, TX 75601-5500
(903) 315-4400
(903) 315-2595
Mailing address
PO BOX 4207, LONGVIEW, TX 75606-4207
(903) 315-4400
(903) 315-2595
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/15/2012
Last updated
04/13/2015
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