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Organization

WACO SURGICAL CLINIC P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GAYLAND L SIMS M.D. (PRESIDENT)
(254) 776-3188
Entity
Organization

Contact information

Practice address
6600 FISH POND RD, SUITE 101, WACO, TX 76710-2581
(254) 776-3188
(254) 776-3607
Mailing address
6600 FISH POND RD, SUITE 101, WACO, TX 76710-2581
(254) 776-3188
(254) 776-3607

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
11/03/2006
Last updated
06/18/2008
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