Organization
BAYLOR FAMILY MEDICAL CENTER AT ELLIS COUNTY, LLP
Active
Organization
BAYLOR FAMILY MEDICAL CENTER AT ELLIS COUNTY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLEN E. FOURTON (DIRECTOR)
(972) 860-8649
Entity
Organization
Contact information
Practice address
505 N HIGHWAY 77, SUITE 200, WAXAHACHIE, TX 75165-1128
(972) 923-1686
(972) 923-9268
Mailing address
8080 N CENTRAL EXPY, SUITE 1650, DALLAS, TX 75206-1838
(972) 860-8648
(972) 860-8679
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083NP
BCBS
TX
Enumeration date
05/27/2006
Last updated
02/18/2008
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