Organization
SOUTHERN PLAINS PAVILION ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY PARRETT D.P.M. (CEO)
(972) 937-8900
Entity
Organization
Contact information
Practice address
1324 BROWN ST, STE. 100, WAXAHACHIE, TX 75165-1421
(972) 937-8900
Mailing address
1324 BROWN ST, STE. 100, WAXAHACHIE, TX 75165-1421
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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