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Organization
WAXAHACHIE MEDICAL PLLC
Active
Organization
WAXAHACHIE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT W GALLOWAY MD (MEDICAL DIRECTOR)
(214) 619-5664
Entity
Organization
Contact information
Practice address
401 N HIGHWAY 77, SUITE # 1, WAXAHACHIE, TX 75165-1130
(214) 619-5664
(469) 930-4446
Mailing address
401 N HIGHWAY 77, SUITE # 1, WAXAHACHIE, TX 75165-1130
(214) 619-5664
(469) 930-4446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N4420
TX
261QM2500X
Medical Specialty Clinic/Center
N4420
TX
Other
Enumeration date
07/05/2016
Last updated
07/07/2016
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