Organization
ELLIS COUNTY SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOMI JOSEPH FAYIGA M.D. (PRESIDENT)
(972) 923-2600
Entity
Organization
Contact information
Practice address
1626 W HIGHWAY 287 BUSINESS, SUITE 102, WAXAHACHIE, TX 75165-4712
(972) 923-2600
(972) 923-1013
Mailing address
1626 W HIGHWAY 287 BUSINESS, SUITE 102, WAXAHACHIE, TX 75165-4712
(972) 923-2600
(972) 923-1013
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
H9921
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128623901
—
TX
Enumeration date
05/09/2007
Last updated
07/16/2008
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