Shining Star Pediatrics

LBN: Ancor Health Center, Pa
Shining Star Pediatrics is an health care organization with primary practice located at 2304 Judson Rd Ste D , Longview TX 75605-4675. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Ancor Health Center, Pa can be contacted via phone (903) 212-6060, or through Cook, Earlene via phone (903) 985-8110.

Contact Information

Primary practice address
2304 Judson Rd Ste D Longview TX 75605-4675
Phone: (903) 212-6060
Fax: (903) 212-4466
Website:
Map and Directions
Authorized official contact:
Name: Cook, Earlene
Phone: (903) 985-8110

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1952946428
LBN Legal business name Ancor Health Center, Pa
DBA Doing business as Shining Star Pediatrics
Authorized official Cook, Earlene
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 8th, 2019
Last updated Nov 14th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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