Organization
BRISTOL ADVANCED ILLNESS MANAGEMENT - NORTH CENTRAL TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY WEYLON DRAIN MD (SOLE MEMBER)
(972) 923-2436
Entity
Organization
Contact information
Practice address
1905 N HIGHWAY 77 STE 220, WAXAHACHIE, TX 75165-7916
(469) 553-0750
(469) 466-6317
Mailing address
1905 N HIGHWAY 77 STE 220, WAXAHACHIE, TX 75165-7916
(469) 553-0750
(469) 466-6317
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
11/01/2022
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