Waco Ob Gyn Associates

NPI #1578731840 in Waco, Texas

Provider Information

NPI Number: 1578731840
Entity Type: Organization
Organization Name: Waco Ob Gyn Associates
Primary Specialty: Specialist
Enumeration Date: Feb 20, 2008
Last Updated: Feb 20, 2008

Practice Location

Address: 2124 N. 25TH ST
City: Waco
State: Texas
ZIP Code: 76708-3317
Phone: (254) 752-4354

Authorized Official

Name: DR. WILLIAM SCOTT LIVESAY, MEDICAL DOCTOR
Title: PRESIDENT
Phone: (254) 452-4395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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