Organization
WACO CENTER FOR WOMEN'S HEALTH, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY GILLILAND (ADMINISTRATOR)
(254) 776-8291
Entity
Organization
Contact information
Practice address
601 WEST HIGHWAY 6, SUITE 101, WACO, TX 76712-5575
(254) 772-5454
(254) 772-6464
Mailing address
601 W STATE HIGHWAY 6, SUITE 101, WACO, TX 76710-5575
(254) 772-5454
(254) 772-6464
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164602802
—
TX
Enumeration date
08/18/2006
Last updated
07/21/2022
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