Organization Active NPI

Waxahachie Women's Surgery Pavilion, LLC

  • Ambulatory Surgical Clinic/Center
  • Waxahachie, TX
National Provider Identifier
1255528915
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
007799 Issued in TX
Legal business name
WAXAHACHIE WOMEN'S SURGERY PAVILION, LLC
Practice address
1324 Brown St Ste 600
Waxahachie, TX 75165-1426
Phone
(972) 973-6277
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marilyn Christian
Title
Coo
Phone
(713) 554-7503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 007799 TX Primary

Addresses

Primary practice location

1324 Brown St Ste 600
Waxahachie, TX 75165-1426

Mailing address

1505 W Jefferson St Ste 120
Waxahachie, TX 75165-2200

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1255528915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W JEFFERSON ST STE 120",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 BROWN ST STE 600",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651426",
            "telephone_number": "972-973-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAXAHACHIE WOMEN'S SURGERY PAVILION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "713-554-7503"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.