| Organization Name: | NORTH RICHLAND HILLS ENDOSCOPY CENTER LLC |
| NPI Number: | 1114952686 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHILLIP A. CLENDENIN (PRESIDENT) |
| Mailing Address: | 7640 Ne Loop 820 Suite 96 North Richland Hills |
| State: | TX US |
| Postal Code: | 761808300 |
| Phone Number: | 4697135052 |
| Fax Number: | 4697135054 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 07/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0800X |
| License Number: | 008398 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Endoscopy |
| Taxonomy Definition: | |