South Shore Medical Center in League City - Family Medicine

South Shore Medical Center - NPI 1396746483

South Shore Medical Center is a Family Medicine in League City, Texas. South Shore Medical Center practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for South Shore Medical Center is 1396746483. The last update date is 2020-08-22.

South Shore Medical Center's current location address is 201 Enterprise Ave, League City, Texas. You can contact this provider via phone number 2813342826 and fax number 2813341949. The mailing address for South Shore Medical Center is 201 Enterprise Ave, League City, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization South Shore Medical Center
Address 201 Enterprise Ave, League City, Texas
Phone Number 2813342826
Fax Number 2813341949
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT/
Authorized Official Name Janoe Wayne Jack
Credentials MD
Telephone Number 2813342826

NPI Number Detail

NPI Number 1396746483
Provider Enumeration Date 2005-08-10
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 201 Enterprise Ave
City League City
State Texas (TX)
Post Code 775733082
Phone Number 2813342826
Fax Number 2813341949

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about South Shore Medical Center

What is the unique 10-digit identifier code assigned to South Shore Medical Center by the Centers for Medicare & Medicaid Services?

The South Shore Medical Center has been issued the NPI (National Provider Identifier) 1396746483 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where South Shore Medical Center is physically located?

The South Shore Medical Center is physically situated at the following address: 201 Enterprise Ave, League City, TX, 775733082.

What is the area of specialization for South Shore Medical Center, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for South Shore Medical Center is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1396746483 to South Shore Medical Center?

The South Shore Medical Center received its 1396746483 assignment from the Centers for Medicare & Medicaid Services on 2005-08-10.

When was the information related to South Shore Medical Center most recently updated or refreshed?

The details pertaining to the South Shore Medical Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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