Healthtexas Provider Network - Waxahachie Surgical Specialist, LLP

NPI #1871598458 in Waxahachie, Texas

Provider Information

NPI Number: 1871598458
Entity Type: Organization
Organization Name: Healthtexas Provider Network - Waxahachie Surgical Specialist, LLP
Primary Specialty: Surgery
Enumeration Date: Jun 20, 2005
Last Updated: Feb 23, 2008

Practice Location

Address: 1505 W JEFFERSON ST
Address 2: STE 165
City: Waxahachie
State: Texas
ZIP Code: 75165-2200
Phone: (972) 923-1457

Authorized Official

Name: MRS. ELLEN ELIZABETH FOURTON
Title: DIRECTOR
Phone: (972) 860-8649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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