Organization
HEALTHTEXAS PROVIDER NETWORK-WAXAHACHIE SURGICAL SPECIALISTS, L.L.P.
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
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
02/26/2007
Last updated
02/23/2008
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