Organization
WAXAHACHIE WOMEN'S SURGERY PAVILION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN CHRISTIAN (COO)
(713) 554-7503
Entity
Organization
Contact information
Practice address
1324 BROWN ST STE 600, WAXAHACHIE, TX 75165-1426
(972) 973-6277
Mailing address
1505 W JEFFERSON ST STE 120, WAXAHACHIE, TX 75165-2200
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007799
TX
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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