Organization
WACO OB GYN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM SCOTT LIVESAY MEDICAL DOCTOR (PRESIDENT)
(254) 452-4395
Entity
Organization
Contact information
Practice address
2124 N. 25TH ST, WACO, TX 76708-3317
(254) 752-4354
(254) 752-7343
Mailing address
2124 N. 25 ST, WACO, TX 76708
(254) 752-4354
(254) 752-7343
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D9548
TX
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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