Evergreen Neurosurgery Center, Pllc

LBN: Evergreen Neurosurgery Center, Pllc
Evergreen Neurosurgery Center, Pllc is an health care organization with primary practice located at 111 Vision Park Blvd Ste 260 , Shenandoah TX 77384. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Evergreen Neurosurgery Center, Pllc can be contacted via phone (281) 719-9681, or through Sebastian, Cyril T via phone (281) 719-9681.

Contact Information

Primary practice address
111 Vision Park Blvd Ste 260 Shenandoah TX 77384
Phone: (281) 719-9681
Fax: (281) 791-0059
Website:
Map and Directions
Authorized official contact:
Name: Sebastian, Cyril T Doctor of Medicine (MD)
Phone: (281) 719-9681

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X N6643 Texas

Profile Details

NPI number 1285074047
LBN Legal business name Evergreen Neurosurgery Center, Pllc
DBA Doing business as
Authorized official Sebastian, Cyril T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2013
Last updated Jun 10th, 2021 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285074047 NPPES
Texas Other N6643 LICENSE

Popular Providers