Organization
SCOTT AND WHITE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY (HANK) CASTON WALLACE MD (RESIDENT)
(254) 724-2111
Entity
Organization
Contact information
Practice address
34021 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2486
Mailing address
2820 BUTTERFLY DR, TEMPLE, TX 76502-7934
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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