# ADVANCED WOMENS HEALTHCARE OF WAXAHACHIE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851611933
- **Authorized official:** DR. TRACY LEE GLASS D.O. (PRESIDENT)
- **Authorized official phone:** (325) 437-1590

## Contact information

- **Practice address:** 2001 BATES DR STE 200, WAXAHACHIE, TX 75167-4828
- **Practice address phone:** (469) 570-7001
- **Practice address fax:** (469) 570-7002
- **Mailing address:** 2001 BATES DR STE 200, WAXAHACHIE, TX 75167-4828
- **Mailing address phone:** (469) 570-7001
- **Mailing address fax:** (469) 570-7002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | N1649 | TX | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | TX | — |
| 363LW0102X | Women's Health Nurse Practitioner | 782340 | TX | — |

## Other

- **Enumeration date:** 06/10/2010
- **Last updated:** 03/07/2019