| Organization Name: | WOODLANDS ENDOSCOPY CENTR, LTD. |
| NPI Number: | 1013962380 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER A HOLDEN (CHIEF MANAGER OF LLC) |
| Mailing Address: | 111 Vision Park Blvd Suite 160 Shenandoah |
| State: | TX US |
| Postal Code: | 773843002 |
| Phone Number: | 9363218910 |
| Fax Number: | 9363218913 |
| NPI Enumeration Date: | 05/24/2006 |
| NPI Last Update Date: | 10/31/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0800X |
| License Number: | 008224 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Endoscopy |
| Taxonomy Definition: | |