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Organization
WAXAHACHIE ANESTHESIA CONSULTANT SERVICES PA
Active
Organization
WAXAHACHIE ANESTHESIA CONSULTANT SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATTY WEATHERFORD CPC (PRACTICE ADMINISTRATOR)
(972) 937-7240
Entity
Organization
Contact information
Practice address
800 N HIGHWAY 77, SUITE 160 PMB #224, WAXAHACHIE, TX 75165-1884
(972) 937-7240
Mailing address
800 N HIGHWAY 77, SUITE 160 PMB 224, WAXAHACHIE, TX 75165-1884
(972) 937-7240
(972) 937-4255
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173162202
—
TX
Enumeration date
12/30/2005
Last updated
09/11/2008
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