| Organization Name: | PHYSICIANS SURGERY CENTER OF WACO |
| NPI Number: | 1033223748 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALAN SHILLER (PRESIDENT) |
| Mailing Address: | 2201 W Loop 340 Waco |
| State: | TX US |
| Postal Code: | 767126856 |
| Phone Number: | 2547726200 |
| Fax Number: | 2544203057 |
| NPI Enumeration Date: | 08/18/2006 |
| NPI Last Update Date: | 06/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 008275 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |