Organization Name: | BAYLOR MEDICAL CENTER AT WAXAHACHIE |
NPI Number: | 1164763850 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES MCGEE (EXECUTIVE ASSISTANT) |
Mailing Address: | 305 E Ovilla Rd Red Oak |
State: | TX US |
Postal Code: | 751543833 |
Phone Number: | 9726177731 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2013 |
NPI Last Update Date: | 03/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | R00380 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |