Southern Plains Pavilion Associates, LLC
Clinic/Center, Ambulatory Surgical in Waxahachie, TX. Organization (NPI-2).
NPI number1073705653
StatusActive
Last updated in NPPESAug 16, 2007
Details
- NPI
- 1073705653
- Entity type
- Organization (NPI-2)
- Legal business name
- Southern Plains Pavilion Associates, LLC
- Organization subpart
- No
- Enumeration date
- Aug 16, 2007
- Last updated
- Aug 16, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
1324 Brown StSte. 100
Waxahachie, TX 75165-1421
Phone 972-937-8900
Mailing address
1324 Brown StSte. 100
Waxahachie, TX 75165-1421
Authorized official
Jeffrey Parrett
Ceo
9729378900
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