MEDICARE: ENDOCRINE AND ONCOLOGIC SURGICAL ASSOCIATES INC

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	208600000X	Surgery Physician

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	0018PX	OTHER	TX	BC & BS

General Provider Information

NPI Number	:	1790984565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENDOCRINE AND ONCOLOGIC SURGICAL ASSOCIATES INC

Provider Business Mailing Address
First Line	:	3502 CORINTH PKWY UNIT 100
Second Line	:
City	:	CORINTH
State	:	TX
Zip	:	76208-5482
Country	:	US
Telephone Number	:	409-380-8040
Fax Number	:	940-380-8041

Provider Business Practice Location Address
First Line	:	3502 CORINTH PKWY UNIT 100
Second Line	:
City	:	CORINTH
State	:	TX
Zip	:	76208-5482
Country	:	US
Telephone Number	:	940-380-8040
Fax Number	:	940-380-8041

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CAROLYN N GARNER
Credential	:	M.D.
Telephone Number	:	940-380-8040

Provider Enumeration Date	:	07/12/2007
Last Update Date	:	11/20/2023

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