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Organization
ADVANCED WOMENS HEALTHCARE OF WAXAHACHIE PLLC
Active
Organization
ADVANCED WOMENS HEALTHCARE OF WAXAHACHIE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY LEE GLASS D.O. (PRESIDENT)
(325) 437-1590
Entity
Organization
Contact information
Practice address
2001 BATES DR STE 200, WAXAHACHIE, TX 75167-4828
(469) 570-7001
(469) 570-7002
Mailing address
2001 BATES DR STE 200, WAXAHACHIE, TX 75167-4828
(469) 570-7001
(469) 570-7002
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N1649
TX
207V00000X
Obstetrics & Gynecology Physician
—
TX
363LW0102X
Women's Health Nurse Practitioner
782340
TX
Other
Enumeration date
06/10/2010
Last updated
03/07/2019
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