Organization
PHYSICIANS SURGERY CENTER OF WACO
Active
Other names
Waco Surgicenter, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN SHILLER M.D. (PRESIDENT)
(903) 723-1010
Entity
Organization
Contact information
Practice address
2201 W LOOP 340, WACO, TX 76712-6856
(254) 772-6200
(254) 420-3057
Mailing address
3323 S LOOP 256, PALESTINE, TX 75801-6977
(903) 723-1010
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008275
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181299201
—
TX
Enumeration date
08/18/2006
Last updated
06/19/2008
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