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Organization

ADVANCED WOMENS HEALTHCARE OF WAXAHACHIE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TRACY LEE GLASS D.O. (PRESIDENT)
(325) 437-1590
Entity
Organization

Contact information

Practice address
2001 BATES DR STE 200, WAXAHACHIE, TX 75167-4828
(469) 570-7001
(469) 570-7002
Mailing address
2001 BATES DR STE 200, WAXAHACHIE, TX 75167-4828
(469) 570-7001
(469) 570-7002

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N1649
TX
207V00000X
Obstetrics & Gynecology Physician
TX
363LW0102X
Women's Health Nurse Practitioner
782340
TX

Other

Enumeration date
06/10/2010
Last updated
03/07/2019
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