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Keystone Outpatient Services, LLC

Clinic/Center, Ambulatory Surgical in The Woodlands, TX. Organization (NPI-2).

NPI number1386830800
StatusActive
Last updated in NPPESSep 18, 2007

Details

NPI
1386830800
Entity type
Organization (NPI-2)
Legal business name
Keystone Outpatient Services, LLC
Organization subpart
No
Enumeration date
Sep 18, 2007
Last updated
Sep 18, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA1903X Clinic/Center, Ambulatory Surgical8543TXYes

Practice location

3115 College Park Dr
Suite101
The Woodlands, TX 77384-4000

Phone 936-321-4345 · Fax 936-321-4353

Mailing address

3115 College Park Dr
Suite101
The Woodlands, TX 77384-4000

Phone 936-321-4345 · Fax 936-321-4353

Authorized official

Thomas Oswald Shannon
General Manager
9363214345

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