Organization
WAXAHACHIE ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN BRUCE (COO)
(713) 554-7500
Entity
Organization
Contact information
Practice address
1324 BROWN ST, STE. 600, WAXAHACHIE, TX 75165-1421
(972) 973-6277
Mailing address
PO BOX T, WAXAHACHIE, TX 75168-1107
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007799
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301376
—
TX
Enumeration date
12/07/2007
Last updated
12/18/2007
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