| South Shore Medical Center | |
|
201 Enterprise Ave Suite 900 League City TX 77573-3082 | |
| (281) 334-2826 | |
| (281) 334-1949 |
| Full Name | South Shore Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 201 Enterprise Ave, League City, Texas |
| Authorized Official Name and Position | Jack Wayne Janoe (PRESIDENT/OWNER) |
| Authorized Official Contact | 2813342826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Shore Medical Center 201 Enterprise Ave Suite 900 League City TX 77573-3082 Ph: (281) 334-2826 | South Shore Medical Center 201 Enterprise Ave Suite 900 League City TX 77573-3082 Ph: (281) 334-2826 |
| NPI Number | 1396746483 |
|---|---|
| Provider Enumeration Date | 08/10/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396746483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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