Organization
ANCOR HEALTH CENTER, PA
Active
Parent organization
ANCOR HEALTH CENTER PA
Other names
SHINING STAR PEDIATRICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANCOR HEALTH CENTER PA
Authorized official
EARLENE COOK (OFFICE MANAGER)
(903) 985-8110
Entity
Organization
Contact information
Practice address
2304 JUDSON RD STE D, LONGVIEW, TX 75605-4675
(903) 212-6060
(903) 212-4466
Mailing address
2304 JUDSON RD STE D, LONGVIEW, TX 75605-4675
(903) 212-6060
(903) 212-4466
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
11/14/2019
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