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Organization

ELLIS COUNTY SURGICAL ASSOCIATES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. YOMI JOSEPH FAYIGA MD (PRESIDENT)
(972) 923-2600
Entity
Organization

Contact information

Practice address
1626 W HIGHWAY 287 BUSINESS, SUITE 102, WAXAHACHIE, TX 75165-4712
(972) 923-2600
(972) 923-1013
Mailing address
1626 W HIGHWAY 287 BUSINESS, SUITE 102, WAXAHACHIE, TX 75165-4712
(972) 923-2600
(972) 923-1013

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
H9921
TX

Other

Enumeration date
01/09/2008
Last updated
03/01/2011
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