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Contact Information

EVERGREEN NEUROSURGERY CENTER, PLLC
111 VISION PARK BLVD STE 260
SHENANDOAH, TX77384
 Phone: 281-719-9681
 Fax: 281-791-0059
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for EVERGREEN NEUROSURGERY CENTER, PLLC

NPI # 1285074047
LBN Legal business name EVERGREEN NEUROSURGERY CENTER, PLLC
Authorized official CYRIL SEBASTIAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2013
Last updated 08/23/2018 - More than a year ago
Identifiers
TX License # N6643
TX Other N6643 LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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