Organization
HEALTHTEXAS PROVIDER NETWORK - WAXAHACHIE SURGICAL SPECIALISTS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLEN E. FOURTON (DIRECTOR)
(972) 860-8649
Entity
Organization
Contact information
Practice address
1404 W JEFFERSON ST, WAXAHACHIE, TX 75165-2232
(972) 923-9999
(972) 923-9488
Mailing address
8080 N CENTRAL EXPY, SUITE 1650, DALLAS, TX 75206-1838
(972) 860-8648
(972) 860-8679
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033LE
BCBS
TX
Enumeration date
09/07/2006
Last updated
08/22/2020
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