MEDICARE: NORTH RICHLAND HILLS ENDOSCOPY CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0800X	Endoscopy Clinic/Center	008398	TX
2	261QA1903X	Ambulatory Surgical Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	HH129A	OTHER	TX	BCBSTX

General Provider Information

NPI Number	:	1114952686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH RICHLAND HILLS ENDOSCOPY CENTER LLC

Provider Business Mailing Address
First Line	:	1A BURTON HILLS BLVD STE 300
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-6153
Country	:	US
Telephone Number	:	615-240-3741
Fax Number	:	615-234-1720

Provider Business Practice Location Address
First Line	:	7640 NE LOOP 820 STE 96
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-8369
Country	:	US
Telephone Number	:	469-713-5052
Fax Number	:	469-713-5054

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEFFREY E SNODGRASS
Credential	:
Telephone Number	:	615-665-1283

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	08/27/2025

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