Organization
WALTHALL SURGICAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN D WALTHALL M.D. (OWNER/OPERATOR)
(325) 236-8886
Entity
Organization
Contact information
Practice address
301 JENNY GEORGE LN, SWEETWATER, TX 79556-7152
(325) 236-8886
(325) 236-8861
Mailing address
301 JENNY GEORGE LN, SWEETWATER, TX 79556-7152
(325) 236-8886
(325) 236-8861
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J0343
TX
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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