Organization
UNIVERSITY DRIVE HEALTH CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM WAYNE HAIRSTON D. O. (OWNER/ PRESIDENT)
(936) 564-1188
Entity
Organization
Contact information
Practice address
932 N UNIVERSITY DR, NACOGDOCHES, TX 75961-4643
(936) 564-1188
(936) 560-4137
Mailing address
932 N UNIVERSITY DR, NACOGDOCHES, TX 75961-4643
(936) 564-1188
(936) 560-4137
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/06/2006
Last updated
07/06/2010
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