Epcp Procedure Suites, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

M3691 Issued in TX

Legal business name

EPCP PROCEDURE SUITES, LLC

Practice address

250 Ed English Dr Ste D
Shenandoah, TX 77385-8019

Phone

(281) 292-7411

Fax

(281) 292-7481

NPI assigned

Oct 8, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Choung Phan, MD

Title

Owner

Phone

(281) 292-7411

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1215330956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 ED ENGLISH DR STE D",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858019",
            "telephone_number": "281-292-7411",
            "fax_number": "281-292-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 ED ENGLISH DR STE D",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858019",
            "telephone_number": "281-292-7411",
            "fax_number": "281-292-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPCP PROCEDURE SUITES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "CHOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-292-7411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "M3691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.