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General NPI Number Information
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NPI Number | 1750380507
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Entity Type | Organization
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Legal Business Name | BAYLOR MEDICAL CENTER AT WAXAHACHIE
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 1405 W JEFFERSON ST
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City | WAXAHACHIE
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State | TX
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Zip | 75165-2231
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Country | US
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Telephone | 972-923-8056
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Fax | 972-923-7096
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Provider Business Mailing Address
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Address Line | PO BOX 844597
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City | DALLAS
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State | TX
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Zip | 75284-4597
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Country | US
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Telephone | 214-820-6710
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Fax | 214-820-7950
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Authorized Official
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Title or Position | CEO
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Name | WILLIAM TURNER
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Credential |
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Telephone | 469-843-4004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 000285
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License Number State | TX
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