Organization
SURGERY CENTER OF WAXAHACHIE LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE STEED (GROUP VICE PRESIDENT)
(913) 387-0575
Entity
Organization
Contact information
Practice address
106 LUCAS STREET, WAXAHACHIE, TX 75165-2202
(913) 314-9193
Mailing address
106 LUCAS STREET, WAXAHACHIE, TX 75165-2202
(913) 314-9193
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190994701
—
TX
01
—
HH156A
BCBS TX
TX
Enumeration date
01/31/2007
Last updated
05/06/2008
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