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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